Active NPI
David Brian Reen, DMD
- Orthodontics and Dentofacial Orthopedics Dentistry
- West Springfield, MA
National Provider Identifier
1386754752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 10346
- Practice address
- 46 Daggett Drive
Suite 1B
West Springfield, MA 01089-4646 - Phone
- (413) 733-2477
- Fax
- (413) 736-9010
- NPI assigned
- Aug 30, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 10346 | MA | Primary |
Addresses
Primary practice location
46 Daggett Drive
Suite 1B
West Springfield, MA 01089-4646
Mailing address
46 Daggett Drive
Suite 1B
West Springfield, MA 01089-4646
Phone (413) 733-2477
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0230715 | Medicaid | MA |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10346 | MA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reen & Reen DMD PC | Orthodontics and Dentofacial Orthopedics | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- West Springfield, MA
- NPI 1013027473
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1386754752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "46 DAGGETT DRIVE",
"address_2": "SUITE 1B",
"city": "WEST SPRINGFIELD",
"state": "MA",
"postal_code": "010894646",
"telephone_number": "413-733-2477",
"fax_number": "413-736-9010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "46 DAGGETT DRIVE",
"address_2": "SUITE 1B",
"city": "WEST SPRINGFIELD",
"state": "MA",
"postal_code": "010894646",
"telephone_number": "413-733-2477",
"fax_number": "413-736-9010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REEN",
"first_name": "DAVID",
"middle_name": "BRIAN",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "MA",
"license": "10346",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0230715",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in West Springfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.