Reena Abraham, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6580 Issued in WI

Practice address

2416 N Peach Ave
Apt 3
Marshfield, WI 54449-8355

Phone

(715) 254-1094

NPI assigned

Jun 29, 2009

Last updated

Aug 8, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Reena Mathews Former name

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1246233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312761600000",
    "number": "1457589491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2416 N PEACH AVE",
            "address_2": "APT 3",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544498355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2416 N PEACH AVE",
            "address_2": "APT 3",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544498355",
            "telephone_number": "715-254-1094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRAHAM",
        "first_name": "REENA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-29",
        "last_updated": "2011-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS037906",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "6580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REENA",
            "last_name": "MATHEWS",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ihab B Abdalrahman, MD
• Raquel Abengozar Mingorance, MD
• Aanuoluwa Abiola, M.D
• C Timothy Ablett, MD
• Petra Abou Lhosn, MD
• Absolute Health Chiropractic SC (Absolute Health Chiropractic)
• Asem Abu-Jamea, MD
• Karalyn M Adam, DNP, RN
• Travis L. Adams, LAT
• Abdirahim Abdi Aden

• General Practice Dentistry in Marshfield, WI
• Providers in Marshfield, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.