Individual provider Active NPI

Matthew Robert Reith, DDS

  • Dentist
  • Lowell, AR
National Provider Identifier
1124401336
Registry record updated Jul 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4057 Issued in AR
Practice address
125B S Bloomington St
Lowell, AR 72745-9493
Phone
(479) 651-5888
NPI assigned
Jul 7, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 4057 AR Primary

Addresses

Primary practice location

125B S Bloomington St
Lowell, AR 72745-9493

Mailing address

125B S Bloomington St
Lowell, AR 72745-9493
Phone (479) 651-5888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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

Enrollment IDStateProvider typePAC IDDetails
I20160719001906 AR Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 3375836059

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Matthew Reith DDS PLLC Dentist Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1436227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436227200000",
    "number": "1124401336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125B S BLOOMINGTON ST",
            "city": "LOWELL",
            "state": "AR",
            "postal_code": "727459493",
            "telephone_number": "479-651-5888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125B S BLOOMINGTON ST",
            "city": "LOWELL",
            "state": "AR",
            "postal_code": "727459493",
            "telephone_number": "479-651-5888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REITH",
        "first_name": "MATTHEW",
        "middle_name": "ROBERT",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-07",
        "last_updated": "2015-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AR",
            "license": "4057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lowell, AR

Sources for this page

Verify at the official NPI Registry.