Patrick Reilly Steck

Primary specialty

DentistTaxonomy code 122300000X

License

DN123009 Issued in GA

Practice address

1601 Georgian Park
Peachtree City, GA 30269-6968

Phone

(770) 338-6307

NPI assigned

Jul 21, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Adam F. Curtis, P.a.

  • Dental Clinic/Center
  • Cambridge, MN
  • NPI 1437432663
  NPD (past)
• Nokomis Family Dental PA

  • Dental Clinic/Center
  • Minneapolis, MN
  • NPI 1689284481
  NPD (past)

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

{
    "created_epoch": "1595289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1205444791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 BATTERY WAY",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302692139",
            "telephone_number": "404-775-4288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 GEORGIAN PARK",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302696968",
            "telephone_number": "770-338-6307"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1596 2nd Ave NE Ste A",
            "address_purpose": "LOCATION",
            "city": "Cambridge",
            "state": "MN",
            "postal_code": "550088069",
            "country_code": "US",
            "telephone_number": "763-689-5699",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STECK",
        "first_name": "PATRICK",
        "middle_name": "REILLY",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-21",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN123009",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D14389",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southside Reading Tutor
• Special Hospice Care for You, Inc.
• Karyn Lynn Staples, MPT
• Monte Montgomery Starkey, MD
• Stat Wellness Peachtree City
• Theresa Denise Stembridge, APRN-NP-C
• Jason Stevens
• Coleen Elizabeth Stinson, CCC-SLP
• Jakiyah Stinson
• Erika Stoll, LPC

• Dentist in Peachtree City, GA
• Providers in Peachtree City, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2023; 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.