Jordan Mitchell Reis, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

61678795 Issued in WA

Practice address

10010 N Division St
Spokane, WA 99218-1305

Phone

(509) 466-2587

NPI assigned

Apr 28, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Kyle Huish DDS PLLC

  • Dental Clinic/Center
  • Spokane, WA
  • NPI 1821648080
  NPD
• Snooz Sleep Dentistry

  • Dental Clinic/Center
  • Spokane, WA
  • NPI 1053237958
  NPD (past)

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

{
    "created_epoch": "1745798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745798400000",
    "number": "1295523439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13223 N PALOMINO LN",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992087154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10010 N DIVISION ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992181305",
            "telephone_number": "509-466-2587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REIS",
        "first_name": "JORDAN",
        "middle_name": "MITCHELL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-04-28",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "61678795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Reimer, PHARMD
• Lisa Reimer, PHARMD
• Felicia Cassandra Reineman, BS, AAC
• Derick L Reinhardt, MSW
• Tyler Johnson Reinking, MD
• Edward J. Reisman, M.D.
• Miles Reitan
• Kristin Nicole Reiter, MSW
• Zachary G Reiter, MSW
• Relationship Advantage

• General Practice Dentistry in Spokane, WA
• Providers in Spokane, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2025; 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.