Individual provider Active NPI

Caleb William Reece, DMD, MSD

  • General Practice Dentistry
  • El Paso, TX
National Provider Identifier
1366963373
Registry record updated Mar 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9979 Issued in KY
Practice address
200 Thunderbird Dr
El Paso, TX 79912-3904
Phone
(435) 229-0777
NPI assigned
Jun 29, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2022

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 9979 KY Primary

Addresses

Primary practice location

200 Thunderbird Dr
El Paso, TX 79912-3904

Mailing address

2201 Biljana Dr Apt 1
Louisville, KY 40206-2175

Other practice location 1

501 S Preston St Dept Of
Louisville, KY 40202-1701
Phone (435) 229-0777

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Reece Orthodontics LLC Dba Alamo Orthodontics LLC CurrentSince May 1, 2022 Accepting new patients
Page Orthodontics LLC Current Accepting new patients

Locations

200 Thunderbird Dr
El Paso, TX 79912
Phone (435) 229-0777

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1498694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646611200000",
    "number": "1366963373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 BILJANA DR APT 1",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402062175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 THUNDERBIRD DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799123904",
            "telephone_number": "435-229-0777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 S Preston St Dept Of",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402021701",
            "country_code": "US",
            "telephone_number": "435-229-0777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REECE",
        "first_name": "CALEB",
        "middle_name": "WILLIAM",
        "credential": "DMD, MSD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-29",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "9979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.

Verify at the official NPI Registry.