Active NPI
Rebecca Lee Reifert, RDH
- Dental Hygienist
- Port Huron, MI
National Provider Identifier
1366183337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 2902011825
- Practice address
- 3037 Electric Ave
Port Huron, MI 48060-6615 - Phone
- (810) 984-5197
- NPI assigned
- Apr 5, 2022
- Last updated
- Apr 5, 2022
- 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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 2902011825 | MI | Primary |
Addresses
Primary practice location
3037 Electric Ave
Port Huron, MI 48060-6615
Mailing address
6548 Galbraith Line Rd
Croswell, MI 48422-9123
Phone (810) 712-7175
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2902011825 | MI | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649116800000",
"number": "1366183337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6548 GALBRAITH LINE RD",
"city": "CROSWELL",
"state": "MI",
"postal_code": "484229123",
"telephone_number": "810-712-7175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3037 ELECTRIC AVE",
"city": "PORT HURON",
"state": "MI",
"postal_code": "480606615",
"telephone_number": "810-984-5197"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REIFERT",
"first_name": "REBECCA",
"middle_name": "LEE",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-05",
"last_updated": "2022-04-05",
"certification_date": "2022-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "MI",
"license": "2902011825",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Huron, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.