Active NPI
Monika Reyes, D.M.D.
- General Practice Dentistry
- Winter Haven, FL
National Provider Identifier
1316353311
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN20766
- Practice address
- 814 Spring Lake SQ
Winter Haven, FL 33881-1338 - Phone
- (863) 268-2300
- Fax
- (863) 268-2399
- NPI assigned
- Jul 10, 2014
- Last updated
- Oct 12, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN20766 | FL | Primary |
Addresses
Primary practice location
814 Spring Lake SQ
Winter Haven, FL 33881-1338
Mailing address
814 Spring Lake SQ
Winter Haven, FL 33881-1338
Phone (863) 268-2300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150530000039 | FL | Order and Referring Only - Dentist | 5991026114 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dental View, LLC | Current | Accepting new patients | |
| Comfortable Care Dental Health Professionals, P.a. | General Practice | Past | Accepting new patients |
Locations
814 Spring Lake Sq
Winter Haven, FL 33881
Phone (863) 268-2300
3501 Cypress Gardens Rd
Winter Haven, FL 33884
Phone (863) 268-2300
Networks
- Freedom Health HMO Network
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Dental View
- General Practice Dentistry
- Winter Haven, FL
- NPI 1619896354
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476230400000",
"number": "1316353311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "814 SPRING LAKE SQ",
"city": "WINTER HAVEN",
"state": "FL",
"postal_code": "338811338",
"telephone_number": "863-268-2300",
"fax_number": "863-268-2399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "814 SPRING LAKE SQ",
"city": "WINTER HAVEN",
"state": "FL",
"postal_code": "338811338",
"telephone_number": "863-268-2300",
"fax_number": "863-268-2399"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYES",
"first_name": "MONIKA",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-10",
"last_updated": "2016-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN20766",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winter Haven, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2016; 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.