Active NPI
Kristie Leah Reine, DDS
- General Practice Dentistry
- Slidell, LA
National Provider Identifier
1033210513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 5503
- Practice address
- 720 Robert Blvd
Slidell, LA 70458-1638 - Phone
- (985) 643-1852
- Fax
- (985) 643-1845
- NPI assigned
- Sep 26, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 5503 | LA | Primary |
Addresses
Primary practice location
720 Robert Blvd
Slidell, LA 70458-1638
Mailing address
2081 Lakeshore Blvd
Slidell, LA 70461
Phone (985) 641-4416
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5503 | LA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakeshore Family Dentistry Inc | General Practice | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Slidell, LA
- NPI 1083783419
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1033210513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2081 LAKESHORE BLVD",
"city": "SLIDELL",
"state": "LA",
"postal_code": "70461",
"telephone_number": "985-641-4416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 ROBERT BLVD",
"city": "SLIDELL",
"state": "LA",
"postal_code": "704581638",
"telephone_number": "985-643-1852",
"fax_number": "985-643-1845"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REINE",
"first_name": "KRISTIE",
"middle_name": "LEAH",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "LA",
"license": "5503",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Slidell, LA
- Juan N Redmond
- Ryan Reeb, AGNP-BC
- Casey Daste Reed, M.D.
- Hunter Reed
- Keegan Reese, M.S., BCBA, LBA
- Rejuven8 Health & Wellness, LLC
- Renal Treatment Centers Southeast LP (Trinity Kidney Care Center)
- Renal Treatment Centers Southeast LP (Northshore Kidney Center)
- Renal Treatment Centers-Southeast, LP. (Slidell Kidney Care)
- Renewed Hope Center, Inc. (The Blooming Tree)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.