Bryan Reeder DMD PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

BRYAN REEDER DMD PLLC

Practice address

222 S Summit Ave Ste 4
Prescott, AZ 86303-3780

Phone

(928) 445-0582

Fax

(928) 445-0974

NPI assigned

Feb 24, 2025

Organization subpart

No

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

Authorized official

Name

Bryan Reeder, DMDNPI 1285295279

Title

Owner

Phone

(928) 445-0582

Specialties & licenses 1

Addresses

Other names 1

• Prescott Peak Dental Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bryan D Reeder

  • General Practice Dentistry
  • Prescott Valley, AZ
  • NPI 1285295279
  NPD Authorized official
• Leon Leslie Wachtel, DDS

  • General Practice Dentistry
  • Prescott, AZ
  • NPI 1598722811
  NPD (past)

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

{
    "created_epoch": "1740355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740355200000",
    "number": "1376349902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 S SUMMIT AVE STE 4",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863033780",
            "telephone_number": "928-445-0582",
            "fax_number": "928-445-0974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 S SUMMIT AVE STE 4",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863033780",
            "telephone_number": "928-445-0582",
            "fax_number": "928-445-0974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYAN REEDER DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-24",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A",
        "authorized_official_last_name": "REEDER",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-445-0582",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prescott Peak Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Karissa Bruce, LPC
• Eric Dale Brummel, PT
• Barbara Ann Bruno, M.D.
• Tara Bruns, MD MPH
• Bryan L Abramowitz MD Inc.
• Jason Bryant, LMT
• Bryce Chiropractic Center LLC
• Justin Boyce Bryce, D.C.
• Joyce Buchanan, PHARM. D.
• Ellen F Bunch, MD, FIM, BSE, BAA

• Dental Clinic/Center in Prescott, AZ
• Providers in Prescott, AZ by specialty
• Dental Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2025; 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.