Organization Active NPI

Richard Alan Reamer

  • General Practice Dentistry
  • Wilmington, NC
National Provider Identifier
1053634733
Registry record updated Mar 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3714 Issued in NC
Legal business name
RICHARD ALAN REAMER
Practice address
736 Medical Center Drive
Suite #101
Wilmington, NC 28401-4284
Phone
(910) 762-0355
Fax
(910) 342-9211
NPI assigned
Mar 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2010

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

Authorized official

Name
Patricia Ann Bullock
Title
Office Manager
Phone
(910) 342-9210

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 3714 NC Primary

Addresses

Primary practice location

736 Medical Center Drive
Suite #101
Wilmington, NC 28401-4284

Mailing address

736 Medical Center Drive
Suite #101
Wilmington, NC 28401-4284
Phone (910) 762-0355

Other identifiers 1

IdentifierTypeStateIssuer
8997288MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Reamerreamer DDS PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

736 Medical Center Dr
Ste 101
Wilmington, NC 28401
Phone (910) 762-0255

NPI Registry JSON

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

{
    "created_epoch": "1268092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268265600000",
    "number": "1053634733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "736 MEDICAL CENTER DRIVE",
            "address_2": "SUITE #101",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284014284",
            "telephone_number": "910-762-0355",
            "fax_number": "910-342-9211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "736 MEDICAL CENTER DRIVE",
            "address_2": "SUITE #101",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284014284",
            "telephone_number": "910-762-0355",
            "fax_number": "910-342-9211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD ALAN REAMER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-09",
        "last_updated": "2010-03-11",
        "status": "A",
        "authorized_official_last_name": "BULLOCK",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "910-342-9210"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "3714",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8997288",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2010; 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.