NPIMap

Organization Active NPI

Lynn H Reeve DDS PA

  • General Practice Dentistry
  • Fairmont, MN
National Provider Identifier
1417230236
Registry record updated Sep 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8489 Issued in MN
Legal business name
LYNN H REEVE DDS PA
Practice address
1307 Albion Ave Ste 103
Fairmont, MN 56031-1850
Phone
(507) 235-3968
NPI assigned
Sep 28, 2011
Last updated
Sep 28, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2011

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

Authorized official

Name
Dr. Lynn Helm ReeveNPI 1518924786
Title
Owner/ Pres
Phone
(507) 235-3968

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 8489 MN Primary

Addresses

Primary practice location

1307 Albion Ave Ste 103
Fairmont, MN 56031-1850

Mailing address

1307 Albion Ave Ste 103
Fairmont, MN 56031-1850
Phone (507) 235-3968

National Provider Directory

National Provider Directory

Locations

1307 Albion Ave
Ste 103
Fairmont, MN 56031
Phone (507) 235-3968

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1317168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317168000000",
    "number": "1417230236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 ALBION AVE STE 103",
            "city": "FAIRMONT",
            "state": "MN",
            "postal_code": "560311850",
            "telephone_number": "507-235-3968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 ALBION AVE STE 103",
            "city": "FAIRMONT",
            "state": "MN",
            "postal_code": "560311850",
            "telephone_number": "507-235-3968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNN H REEVE DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-28",
        "last_updated": "2011-09-28",
        "status": "A",
        "authorized_official_last_name": "REEVE",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "HELM",
        "authorized_official_title_or_position": "OWNER/ PRES",
        "authorized_official_telephone_number": "507-235-3968",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "8489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairmont, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2011; 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.