Individual provider Active NPI

Michael Owen Reimels, DDS

  • General Practice Dentistry
  • Huntersville, NC
National Provider Identifier
1265427967
Registry record updated Jan 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7919 Issued in NC
Practice address
13605 Reese Blvd E
Huntersville, NC 28078-6445
Phone
(704) 948-1111
NPI assigned
Sep 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7919 NC Primary

Addresses

Primary practice location

13605 Reese Blvd E
Huntersville, NC 28078-6445

Mailing address

16645 Cobbleview LN
Huntersville, NC 28078-5643
Phone (704) 528-2838

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160406001702 NC Practitioner - Oral Surgery 9436475886 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7919NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Michael O Reimels, DDS & Catherine G Reimels, DDS, PLLC CurrentSince Jun 12, 2008 Accepting new patients
Dr Reimels Huntersville PLLC PastSince Mar 3, 2016 Accepting new patients

Locations

13605 Reese Blvd W
Huntersville, NC 28078
Phone (704) 948-1111

13605 Reese Blvd E
Huntersville, NC 28078
Phone (704) 948-1111

13605 Reese Blvd E
Huntersville, NC 28078
Phone (704) 948-1111

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578355200000",
    "number": "1265427967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16645 COBBLEVIEW LN",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280785643",
            "telephone_number": "704-528-2838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13605 REESE BLVD E",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280786445",
            "telephone_number": "704-948-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REIMELS",
        "first_name": "MICHAEL",
        "middle_name": "OWEN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-19",
        "last_updated": "2020-01-07",
        "certification_date": "2020-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "7919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntersville, NC

Sources for this page

Verify at the official NPI Registry.