Katelyn Olenich Reeves, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DDS-09836 Issued in IA

Practice address

350 Oak Tree LN Ste 100
Dakota Dunes, SD 57049-5506

Phone

(605) 242-4700

NPI assigned

Jul 13, 2016

Last updated

Mar 30, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in ID

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kreeves805944@direct.unitypoint.org

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.

• Dunes Dental 4 Kids, LLP

  dba Dunes Dental 4 Kids

  • Pediatric Dentistry
  • Dakota Dunes, SD
  • NPI 1033668645
  NPD
• St Luke's Methodist Hospital

  • General Acute Care Hospital
  • Cedar Rapids, IA
  • NPI 1083708226
  NPD
• McKee, Curry, Stanley, Pediatric Dentistry Partnership

  dba Wild About Smiles

  • Pediatric Dentistry
  • Murfreesboro, TN
  • NPI 1942281571
  NPD (past)

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

{
    "created_epoch": "1468368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617062400000",
    "number": "1265884357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 GLEN EAGLE CT",
            "city": "DAKOTA DUNES",
            "state": "SD",
            "postal_code": "570495164",
            "telephone_number": "402-649-1511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 OAK TREE LN STE 100",
            "city": "DAKOTA DUNES",
            "state": "SD",
            "postal_code": "570495506",
            "telephone_number": "605-242-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REEVES",
        "first_name": "KATELYN",
        "middle_name": "OLENICH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-13",
        "last_updated": "2021-03-30",
        "certification_date": "2021-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TN",
            "license": "11091",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "IA",
            "license": "DDS-09836",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0509233",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D1295",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Lee Ramos, PA-C
• Sara J Redler, PHARMD
• Redlers Long Term Care Pharmacy (Redlers Long Term Care LLC)
• Ashton Tyler Redstone, PA-C
• Ralph Frederick Reeder Jr., MD
• Darci Reinesch, CRNA
• Angie Kay Reinhardt, OT
• Lisa A Remer-Gillette, MD
• David Renner, RPT
• David Dean Rettedal, DPM

• Pediatric Dentistry in Dakota Dunes, SD
• Providers in Dakota Dunes, SD by specialty
• Pediatric Dentistry in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.