Brad Reck, D.D.S

Primary specialty

DentistTaxonomy code 122300000X

License

2901021378 Issued in MI

Practice address

2621 Main St
Marlette, MI 48453-1143

Phone

(989) 635-7411

Fax

(989) 635-7413

NPI assigned

Jul 28, 2014

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

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Brad Reck

  • Dentist
  • Marlette, MI
  • NPI 1578003794
  NPD (past)

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

{
    "created_epoch": "1406505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677542400000",
    "number": "1083022693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6535 ROCHESTER RD STE 106",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480851362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2621 MAIN ST",
            "city": "MARLETTE",
            "state": "MI",
            "postal_code": "484531143",
            "telephone_number": "989-635-7411",
            "fax_number": "989-635-7413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RECK",
        "first_name": "BRAD",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-28",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901021378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Makayla Rose McNary, FNP-C
• Mohan Dass Macha MD PC
• Janet A. Mutch, DO
• Allison Nichol, D.O., ATC
• Nitin K.G.Golechha MD,PC.
• Reliant Renal Care-Marlette LLC
• Rite Aid of Michigan Inc
• Robert G Mutch DO PC
• Saib Isterabadi MD
• Marlene May Schank, N.P.

• All providers in Marlette, MI
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.