Ralph E. Remus, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

19A15977 Issued in IL

Practice address

306 W Main St
St Charles, IL 60174-1814

Phone

(630) 584-7477

Fax

(630) 584-7420

NPI assigned

Jun 22, 2007

Sex

Male

Sole proprietor

Yes

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

Enrolled in IL

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

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

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306042809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 W MAIN ST",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601741814",
            "telephone_number": "630-584-7477",
            "fax_number": "630-584-7420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 W MAIN ST",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601741814",
            "telephone_number": "630-584-7477",
            "fax_number": "630-584-7420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REMUS",
        "first_name": "RALPH",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "19A15977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Henry Reeder, M.D.
• Andrea Reffett
• Anna Linn Reinke, P.A.
• Lance David Reinke, PSY.D.
• Reliant DME LLC
• Restorative Solutions Inc
• Sarah Reszke, LPC
• Kaycee Reyes
• Alexis E Reyna, RBT
• Rhapsody Counseling Services LLC

• General Practice Dentistry in St Charles, IL
• Providers in St Charles, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.