Guy V Reich, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

8934 Issued in MN

Practice address

314 Pleasant Ave S
Park Rapids, MN 56470-1419

Phone

(218) 732-4466

Fax

(218) 732-5179

NPI assigned

May 3, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Guy V Reich PA

  • General Practice Dentistry
  • Park Rapids, MN
  • NPI 1134270648
  NPD (past) Authorized official

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

{
    "created_epoch": "1272844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272844800000",
    "number": "1376860189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 PLEASANT AVE S",
            "city": "PARK RAPIDS",
            "state": "MN",
            "postal_code": "564701419",
            "telephone_number": "218-732-4466",
            "fax_number": "218-732-5179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 PLEASANT AVE S",
            "city": "PARK RAPIDS",
            "state": "MN",
            "postal_code": "564701419",
            "telephone_number": "218-732-4466",
            "fax_number": "218-732-5179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REICH",
        "first_name": "GUY",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-03",
        "last_updated": "2010-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "8934",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "995818500",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Corinna Prestegard, PT
• Vern John Prochaska, MD
• Alicia Reardon, NDTR
• Bradley A Refsland, MD
• Jackie R Rehm, RPH
• Michelle Lynn Rice, PTA
• Denise Christine Ristinen, OTR/L
• Seth Roiko, APRN FNP-C
• Charlotte Ann Rollie, F.N.P, CNM
• Thomas Richard Rollie, M.D.

• All providers in Park Rapids, MN
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2010; 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.