Monte A. Reevis, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

019020286 Issued in IL

Practice address

1301 J David Jones Pkwy
Springfield, IL 62702-2599

Phone

(217) 522-9911

NPI assigned

Jul 8, 2008

Sex

Male

Sole proprietor

Yes

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 IL

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

State licenses

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.

• Dr Monte a Reevis DMD Inc

  • Dentist
  • Springfield, IL
  • NPI 1760558472
  NPD (past) Authorized official

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

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216166400000",
    "number": "1154584415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 J DAVID JONES PKWY",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627022599",
            "telephone_number": "217-522-9911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 J DAVID JONES PKWY",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627022599",
            "telephone_number": "217-522-9911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REEVIS",
        "first_name": "MONTE",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-08",
        "last_updated": "2008-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019020286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annette Reese
• Laverne Reese
• Tamara Reeter, NP-C
• Charles Dusten Reeve, D.O.
• Michael Reeves, LCSW, CADC
• Rehabcare
• Patricia Reichart, NP
• Reid Family Wellness 2, LLC
• Adam J Reid, M.D.
• Christopher John Reid, DC

• Dentist in Springfield, IL
• Providers in Springfield, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2008; 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.