NPIMap

Organization Active NPI

Gursimran Reen, DMD LLC

  • General Practice Dentistry
  • Naperville, IL
National Provider Identifier
1417564121
Registry record updated Sep 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
GURSIMRAN REEN, DMD LLC
Practice address
29 S Webster St Ste 108
Naperville, IL 60540-5353
Phone
(630) 355-5988
NPI assigned
Sep 26, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2020

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

Authorized official

Name
Dr. Gursimran Reen, DMDNPI 1528589090
Title
Owner
Phone
(330) 423-3528

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

29 S Webster St Ste 108
Naperville, IL 60540-5353

Mailing address

29 S Webster St Ste 108
Naperville, IL 60540-5353
Phone (630) 355-5988

National Provider Directory

National Provider Directory

Locations

29 S Webster St
Ste 108
Naperville, IL 60540
Phone (630) 355-5988

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1601078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601078400000",
    "number": "1417564121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 S WEBSTER ST STE 108",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605405353",
            "telephone_number": "630-355-5988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 S WEBSTER ST STE 108",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605405353",
            "telephone_number": "630-355-5988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GURSIMRAN REEN, DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-26",
        "last_updated": "2020-09-26",
        "certification_date": "2020-09-26",
        "status": "A",
        "authorized_official_last_name": "REEN",
        "authorized_official_first_name": "GURSIMRAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-423-3528",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2020; 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.