John Reimschiissel, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

10097392-9923 Issued in UT

Practice address

11996 S Anthem Park Blvd Ste 101
Herriman, UT 84096-5643

Phone

(801) 877-5800

NPI assigned

Mar 30, 2015

Last updated

Feb 2, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jr DMD Services PLLC

  dba Lehi Pediatric Dentistry

  • Pediatric Dentistry
  • Lehi, UT
  • NPI 1790352326
  NPD (past) Authorized official
• Kids Creek Ped. Dentistry

  • Pediatric Dentistry
  • Taylorsville, UT
  • NPI 1821521485
  NPD (past)

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

{
    "created_epoch": "1427673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612224000000",
    "number": "1215322029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "663 W 2900 N",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840628101",
            "telephone_number": "801-885-9484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11996 S ANTHEM PARK BLVD STE 101",
            "city": "HERRIMAN",
            "state": "UT",
            "postal_code": "840965643",
            "telephone_number": "801-877-5800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3000 Arlington Ave # MS 1050",
            "address_2": "Graduate Medical Education",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436142595",
            "country_code": "US",
            "telephone_number": "419-383-3504",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REIMSCHIISSEL",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-03-30",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "UT",
            "license": "10097392-9923",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kent Austin Prewett
• Proof Physiotherapy LLC
• Stefanie Prosence
• Samantha Purser
• Edward Rangel, MASSAGE THERAPIST
• Leticia Reyes I
• Alanna Riley
• Dallin Ritchie, DMD
• Caleb Roberts
• Melissa Ray Robles

• Pediatric Dentistry in Herriman, UT
• Providers in Herriman, UT by specialty
• Pediatric Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2021; 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.