Active NPI
Emily Kaye Reibert
- Dental Therapist
- Saint Paul, MN
National Provider Identifier
1255895124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Therapist
- License
- DT115
- Practice address
- 895 7TH St E
Saint Paul, MN 55106-3871 - Phone
- (651) 602-7500
- NPI assigned
- Jan 24, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | H10571 | MN | |
| Dental Therapist | 125J00000X | DT115 | MN | Primary |
Addresses
Primary practice location
895 7TH St E
Saint Paul, MN 55106-3871
Mailing address
895 7TH St E
Saint Paul, MN 55106-3871
Phone (651) 602-7500
Other practice location 1
115 Drew Ave SE
Madelia, MN 56062-1873
Phone (507) 529-0436
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H10571 | MN | MD | Dental Hygienist |
| DT115 | MN | MD | Dental Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607817600000",
"number": "1255895124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "895 7TH ST E",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551063871",
"telephone_number": "651-602-7500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "895 7TH ST E",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551063871",
"telephone_number": "651-602-7500"
}
],
"practiceLocations": [
{
"address_1": "115 Drew Ave SE",
"address_purpose": "LOCATION",
"city": "Madelia",
"state": "MN",
"postal_code": "560621873",
"country_code": "US",
"telephone_number": "507-529-0436",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REIBERT",
"first_name": "EMILY",
"middle_name": "KAYE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-24",
"last_updated": "2020-12-13",
"certification_date": "2020-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "MN",
"license": "H10571",
"primary": false
},
{
"code": "125J00000X",
"taxonomy_group": "",
"desc": "Dental Therapist",
"state": "MN",
"license": "DT115",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.