Active NPI
Melissa Elaine Reese, RDH
- Denturist
- South Fallsburg, NY
National Provider Identifier
1437487576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Denturist
- License
- S-1024732
- Practice address
- 5085 South Fallsburg Main Street
South Fallsburg, NY 12779 - Phone
- (845) 434-8444
- Fax
- (845) 434-8440
- NPI assigned
- Dec 1, 2009
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Denturist | 122400000X | S-1024732 | NY | Primary |
Addresses
Primary practice location
5085 South Fallsburg Main Street
South Fallsburg, NY 12779
Mailing address
PO Box 2022
South Fallsburg, NY 12779
Phone (845) 434-8444
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 |
|---|---|---|---|
| S-1024732 | NY | MD | Denturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Dentistry of Sullivan County, PLLC | 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.
-
- Dentist
- South Fallsburg, NY
- NPI 1912231556
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1259625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1259625600000",
"number": "1437487576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2022",
"city": "SOUTH FALLSBURG",
"state": "NY",
"postal_code": "12779",
"telephone_number": "845-434-8444",
"fax_number": "845-434-8440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5085 SOUTH FALLSBURG MAIN STREET",
"city": "SOUTH FALLSBURG",
"state": "NY",
"postal_code": "12779",
"telephone_number": "845-434-8444",
"fax_number": "845-434-8440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REESE",
"first_name": "MELISSA",
"middle_name": "ELAINE",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-12-01",
"last_updated": "2009-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "122400000X",
"taxonomy_group": "",
"desc": "Denturist",
"state": "NY",
"license": "S-1024732",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Fallsburg, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.