Active NPI
Glenn Reit, DDS
- Dentist
- Van Nuys, CA
National Provider Identifier
1114083458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 35411
- Practice address
- 14401 Hamlin St
D
Van Nuys, CA 91401 - Phone
- (818) 782-6919
- Fax
- (818) 988-4632
- NPI assigned
- Dec 29, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 35411 | NY | Primary |
Addresses
Primary practice location
14401 Hamlin St
D
Van Nuys, CA 91401
Mailing address
1498 3Rd Ave
New York, NY 10028-2115
Phone (212) 517-9000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34408 | Other | CA | MEDICAL PROVIDE NUMBER |
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 |
|---|---|---|---|
| 35411 | NY | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193011200000",
"number": "1114083458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1498 3RD AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100282115",
"telephone_number": "212-517-9000",
"fax_number": "212-517-6199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14401 HAMLIN ST",
"address_2": "D",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "91401",
"telephone_number": "818-782-6919",
"fax_number": "818-988-4632"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REIT",
"first_name": "GLENN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-29",
"last_updated": "2007-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "35411",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL PROVIDE NUMBER",
"identifier": "34408",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Van Nuys, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.