Organization Active NPI

Rebis Therapeutics LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Longmont, CO
National Provider Identifier
1174322762
Registry record updated Mar 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
REBIS THERAPEUTICS LLC
Practice address
1630 Dry Creek Dr Ste 200
Longmont, CO 80503-6409
Phone
(720) 279-9098
Fax
(303) 248-3589
NPI assigned
Mar 7, 2025
Last updated
Mar 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2025

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

Authorized official

Name
Adam Troy Wertz
Title
Ceo
Phone
(720) 938-6918

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

1630 Dry Creek Dr Ste 200
Longmont, CO 80503-6409

Mailing address

1630 Dry Creek Dr Ste 200
Longmont, CO 80503-6409
Phone (720) 279-9098

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1741305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741305600000",
    "number": "1174322762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 DRY CREEK DR STE 200",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805036409",
            "telephone_number": "720-279-9098",
            "fax_number": "303-248-3589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 DRY CREEK DR STE 200",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805036409",
            "telephone_number": "720-279-9098",
            "fax_number": "303-248-3589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBIS THERAPEUTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-07",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A",
        "authorized_official_last_name": "WERTZ",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "TROY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "720-938-6918"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmont, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.