Active NPI
Reese Family Dentistry
- General Practice Dentistry
- Covington, TN
National Provider Identifier
1376831073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 7271
- Legal business name
- REESE FAMILY DENTISTRY
- Practice address
- 973 Highway 51 N
Suite 7
Covington, TN 38019-1594 - Phone
- (901) 476-3777
- Fax
- (901) 476-0330
- NPI assigned
- Jul 14, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Cheryl Reese, DDS
- Title
- Dentist/Owner
- Phone
- (901) 476-3777
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 7271 | TN | Primary |
Addresses
Primary practice location
973 Highway 51 N
Suite 7
Covington, TN 38019-1594
Mailing address
973 Highway 51 N
Suite 7
Covington, TN 38019-1594
Phone (901) 476-3777
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3205088 | Medicaid | TN |
National Provider Directory
National Provider DirectoryLocations
973 Highway 51 N
Ste 7
Covington, TN 38019
Phone (901) 471-1235
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310601600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1344384000000",
"number": "1376831073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "973 HIGHWAY 51 N",
"address_2": "SUITE 7",
"city": "COVINGTON",
"state": "TN",
"postal_code": "380191594",
"telephone_number": "901-476-3777",
"fax_number": "901-476-0330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "973 HIGHWAY 51 N",
"address_2": "SUITE 7",
"city": "COVINGTON",
"state": "TN",
"postal_code": "380191594",
"telephone_number": "901-476-3777",
"fax_number": "901-476-0330"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REESE FAMILY DENTISTRY",
"organizational_subpart": "NO",
"enumeration_date": "2011-07-14",
"last_updated": "2012-08-08",
"status": "A",
"authorized_official_last_name": "REESE",
"authorized_official_first_name": "CHERYL",
"authorized_official_title_or_position": "DENTIST/OWNER",
"authorized_official_telephone_number": "901-476-3777",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "TN",
"license": "7271",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3205088",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Covington, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.