Justina Ingrid Traber Reel, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22411 Issued in TX

Practice address

1325 S. Bryant Blvd.
San Angelo, TX 76903

Phone

(325) 653-1385

Fax

(325) 658-3300

NPI assigned

Oct 23, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Justina Ingrid Traber Other name

Medicare fee-for-service enrollment

Enrolled in TX

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

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.

• Harold R. Reel Jr. DDS. PA.

  • Dentist
  • San Angelo, TX
  • NPI 1063535235
  NPD (past)

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190332800000",
    "number": "1295818060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 S. BRYANT BLVD.",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "76903",
            "telephone_number": "325-653-1385",
            "fax_number": "325-658-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 S. BRYANT BLVD.",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "76903",
            "telephone_number": "325-653-1385",
            "fax_number": "325-658-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REEL",
        "first_name": "JUSTINA",
        "middle_name": "INGRID TRABER",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2007-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "009364",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "22411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUSTINA",
            "last_name": "TRABER",
            "middle_name": "INGRID",
            "credential": "DMD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Toby Redden, CNP
• Stuart R Redding, PT, DPT
• Carolyn B Reed, PHD
• Chad Harris Reel, D.M.D.
• Harold Raymond Reel Jr., DDS
• Amber Kay Rees, RD
• Ilene L Rees, D.D.S., M.S.
• Kenneth Anderson Rees, D.M.D.
• Reeves Rehab
• Reeves Rehab

• General Practice Dentistry in San Angelo, TX
• Providers in San Angelo, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2007; 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.