Individual provider Active NPI

Monika Reyes, D.M.D.

  • General Practice Dentistry
  • Winter Haven, FL
National Provider Identifier
1316353311
Registry record updated Oct 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN20766 Issued in FL
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, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150530000039 FL Order and Referring Only - DentistPractitioner - Dentist 5991026114

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.