Matthew Wallace Reese, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019025268 Issued in IL

Practice address

1014 W Belmont Ave
Chicago, IL 60657-3303

Phone

(773) 472-6322

NPI assigned

Sep 14, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• A Wulfsohn DMD PC

  • Dental Clinic/Center
  • Chicago, IL
  • NPI 1679140321
  NPD (past)
• Lake View Dental Associates, PC

  • General Practice Dentistry
  • Chicago, IL
  • NPI 1518309152
  NPD (past)

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

{
    "created_epoch": "1252886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252886400000",
    "number": "1043543796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6554 N TALMAN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606455326",
            "telephone_number": "773-490-2142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 W BELMONT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606573303",
            "telephone_number": "773-472-6322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REESE",
        "first_name": "MATTHEW",
        "middle_name": "WALLACE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-14",
        "last_updated": "2009-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019025268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Reese
• Marcus L Reese, PTA
• Marguerite Reese, LCPC
• Maria E Reese, MD
• Mark Reese, L.AC
• Tyler Olan Reese, MD
• Emily Reeson, MD
• Nicholas Kyle Reetz, BCBA
• Robert E Reeves, M.D.
• Ward A Reeves

• General Practice Dentistry in Chicago, IL
• Providers in Chicago, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2009; 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.