Active NPI
Richard Alan Reamer
- General Practice Dentistry
- Wilmington, NC
National Provider Identifier
1053634733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 3714
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8997288 | Medicaid | NC |
National Provider Directory
National Provider Directory- Tax ID family
- Reamerreamer DDS PA
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Dentist
- Wilmington, NC
- NPI 1245546308
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.