NPIMap

Organization Active NPI

Reaves Pediatric Dentistry, LLC

  • Pediatric Dentistry
  • Homewood, AL
National Provider Identifier
1013663400
Registry record updated Feb 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
REAVES PEDIATRIC DENTISTRY, LLC
Practice address
2828 Central Ave
Homewood, AL 35209-2504
Phone
(205) 332-3886
Fax
(205) 332-3887
NPI assigned
Feb 24, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Caitlin Reaves, DMDNPI 1366705857
Title
Owner
Phone
(334) 332-8911

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

2828 Central Ave
Homewood, AL 35209-2504

Mailing address

2828 Central Ave
Homewood, AL 35209-2504
Phone (205) 332-3886

Other names 1

  • Homewood Pediatric Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

2828 Central Ave
Homewood, AL 35209
Phone (205) 332-3886

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1645660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645660800000",
    "number": "1013663400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2828 CENTRAL AVE",
            "city": "HOMEWOOD",
            "state": "AL",
            "postal_code": "352092504",
            "telephone_number": "205-332-3886",
            "fax_number": "205-332-3887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2828 CENTRAL AVE",
            "city": "HOMEWOOD",
            "state": "AL",
            "postal_code": "352092504",
            "telephone_number": "205-332-3886",
            "fax_number": "205-332-3887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REAVES PEDIATRIC DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-24",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A",
        "authorized_official_last_name": "REAVES",
        "authorized_official_first_name": "CAITLIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-332-8911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Homewood Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Homewood, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.