Active NPI
Richard Alan Reamer, DDS
- Dentist
- Wilmington, NC
National Provider Identifier
1366469892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 3714
- Practice address
- 736 Medical Center Dr.
St. 101
Wilmington, NC 28401 - Phone
- (910) 762-0355
- Fax
- (910) 762-0353
- NPI assigned
- Jul 17, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 3714 | NC | Primary |
Addresses
Primary practice location
736 Medical Center Dr.
St. 101
Wilmington, NC 28401
Mailing address
736 Medical Center Dr.
St 101
Wilmington, NC 28401
Phone (910) 762-0355
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8997288 | Medicaid | NC |
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 |
|---|---|---|---|
| 3714 | NC | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1237334400000",
"number": "1366469892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "736 MEDICAL CENTER DR.",
"address_2": "ST 101",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "28401",
"telephone_number": "910-762-0355",
"fax_number": "910-762-0353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "736 MEDICAL CENTER DR.",
"address_2": "ST. 101",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "28401",
"telephone_number": "910-762-0355",
"fax_number": "910-762-0353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REAMER",
"first_name": "RICHARD",
"middle_name": "ALAN",
"name_prefix": "Mr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-17",
"last_updated": "2009-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "3714",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8997288",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.