Nicole Therese Reitz, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DE61414216 Issued in WA

Practice address

3819 NE 45TH St
Seattle, WA 98105-5144

Phone

(206) 524-6116

NPI assigned

Mar 30, 2022

Last updated

Jul 13, 2023By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Russell & Hansen PLLC

  • General Practice Dentistry
  • Seattle, WA
  • NPI 1003971870
  NPD

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

{
    "created_epoch": "1648598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1467192120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3819 NE 45TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981055144",
            "telephone_number": "206-524-6116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3819 NE 45TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981055144",
            "telephone_number": "206-524-6116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REITZ",
        "first_name": "NICOLE",
        "middle_name": "THERESE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-30",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE61414216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth A. Reite, OT
• Daniel J Reiter, M.D.
• Jeffrey T Reiter, PHD
• Sharon Lynne Reitman
• Megan S. Reitz, M.D.
• Rejuvenation of Ballard (rejuvenation)
• Rekindle Clinic LLC
• Janelle Francine Rekman, MD
• Hannah M Rekoon, LSWAA
• Relational Healing Therapy

• Dentist in Seattle, WA
• Providers in Seattle, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2023; 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.