Dr. Patricia Reategui D.D.S.P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401413627 Issued in VA

Legal business name

DR. PATRICIA REATEGUI D.D.S.P.C.

Practice address

623 Garrisonville Rd
623 Garrisonville Road
Stafford, VA 22554-3710

Phone

(540) 659-6650

Fax

(540) 657-0576

NPI assigned

Mar 19, 2014

Last updated

Jun 9, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Patricia Reategui, D.D.S.P.C.NPI 1306193461

Title

Owner/Dentist

Phone

(540) 659-6650

Specialties & licenses 1

Addresses

Other names 1

• Stafford Smiles Cosmetic & Implant Center Other name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Patricia Reategui, DDS

  • Dentist
  • Stafford, VA
  • NPI 1306193461
  NPD (past) Authorized official

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

{
    "created_epoch": "1395187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402272000000",
    "number": "1205253978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 279",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225550279",
            "telephone_number": "540-659-6650",
            "fax_number": "540-657-0576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 GARRISONVILLE RD",
            "address_2": "623 GARRISONVILLE ROAD",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225543710",
            "telephone_number": "540-659-6650",
            "fax_number": "540-657-0576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. PATRICIA REATEGUI D.D.S.P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-19",
        "last_updated": "2014-06-09",
        "status": "A",
        "authorized_official_last_name": "REATEGUI",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "540-659-6650",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S.P.C."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401413627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stafford Smiles Cosmetic & Implant Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Alyssa Douglas
• Rachel Diane Douglass
• Eva Dow
• Morgan Dowd
• Dr. Michael W. Schulte (Stafford Smiles Cosmetic Center)
• Dr. Sun Hyun Kim DMD P.C (Unique Dental Care)
• Drayer Physical Therapy Virginia, LLC
• Cynthia Drayton
• Kurt William Droste, LPC
• Ann Duchane, MA, MS, CCC-SLP

• General Practice Dentistry in Stafford, VA
• Providers in Stafford, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2014; 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.