Organization Active NPI

Reese Family Dentistry

  • General Practice Dentistry
  • Covington, TN
National Provider Identifier
1376831073
Registry record updated Aug 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7271 Issued in TN
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

Updated by the provider on Aug 8, 2012

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
3205088MedicaidTN

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.