Organization Active NPI

K T Reese DDS a Professional Corporation

  • General Practice Dentistry
  • Tooele, UT
National Provider Identifier
1245352285
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
129932-9922 Issued in UT
Legal business name
K T REESE DDS A PROFESSIONAL CORPORATION
Practice address
215 S 200 E
Tooele, UT 84074-2714
Phone
(435) 882-0685
Fax
(435) 882-8720
NPI assigned
Apr 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Kay Thomas Reese, D.D.S.
Title
President
Phone
(435) 882-0685

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 129932-9922 UT Primary

Addresses

Primary practice location

215 S 200 E
Tooele, UT 84074-2714

Mailing address

215 S 200 E
Tooele, UT 84074-2714
Phone (435) 882-0685

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245352285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 S 200 E",
            "city": "TOOELE",
            "state": "UT",
            "postal_code": "840742714",
            "telephone_number": "435-882-0685",
            "fax_number": "435-882-8720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 S 200 E",
            "city": "TOOELE",
            "state": "UT",
            "postal_code": "840742714",
            "telephone_number": "435-882-0685",
            "fax_number": "435-882-8720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K T REESE DDS A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REESE",
        "authorized_official_first_name": "KAY",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "435-882-0685",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "129932-9922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tooele, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.