Organization Active NPI

Matthew Reith DDS PLLC

  • Dentist
  • Lowell, AR
National Provider Identifier
1447634928
Registry record updated Jul 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4057 Issued in AR
Legal business name
MATTHEW REITH DDS PLLC
Practice address
125B S Bloomington St
Lowell, AR 72745-9493
Phone
(479) 651-5888
Fax
(479) 770-5004
NPI assigned
Jul 15, 2015
Last updated
Jul 15, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2015

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

Authorized official

Name
Dr. Matthew Robert Reith, DDSNPI 1124401336
Title
Owner
Phone
(479) 651-5888

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
Dentist 122300000X 4057 AR Primary

Addresses

Primary practice location

125B S Bloomington St
Lowell, AR 72745-9493

Mailing address

125B S Bloomington St
Lowell, AR 72745-9493
Phone (479) 651-5888

National Provider Directory

National Provider Directory

Locations

125B S Bloomington St
Lowell, AR 72745
Phone (479) 651-5888

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": "1436918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436918400000",
    "number": "1447634928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125B S BLOOMINGTON ST",
            "city": "LOWELL",
            "state": "AR",
            "postal_code": "727459493",
            "telephone_number": "479-651-5888",
            "fax_number": "479-770-5004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125B S BLOOMINGTON ST",
            "city": "LOWELL",
            "state": "AR",
            "postal_code": "727459493",
            "telephone_number": "479-651-5888",
            "fax_number": "479-770-5004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW REITH DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-15",
        "last_updated": "2015-07-15",
        "status": "A",
        "authorized_official_last_name": "REITH",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-651-5888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AR",
            "license": "4057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lowell, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2015; 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.