Individual provider Active NPI

Rebecca Elliott Reeves, DMD

  • Dentist
  • Raleigh, NC
National Provider Identifier
1467709675
Registry record updated Nov 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
10921 Issued in NC
Practice address
8300 Falls of Neuse Rd Ste 114
Raleigh, NC 27615-3450
Phone
(919) 676-4242
Fax
(919) 676-4246
NPI assigned
Aug 7, 2012
Last updated
Nov 1, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DEN4258 ME
Dentist 122300000X 10921 NC Primary

Addresses

Primary practice location

8300 Falls of Neuse Rd Ste 114
Raleigh, NC 27615-3450

Mailing address

5700 Lena Bunn CT
Rolesville, NC 27571-9526
Phone (919) 500-3909

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
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

Enrollment IDStateProvider typePAC IDDetails
I20161107001945 ME Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 4082993480

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10921NCMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Rebecca E Reeves DMD, PA Dentist CurrentSince Aug 28, 2021 Accepting new patients

Locations

8300 Falls of Neuse Rd
Ste 114
Raleigh, NC 27615
Phone (919) 500-3909

Interoperability endpoints

  • Direct secure messaging: rreeves326512@direct.ochin.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1344297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635724800000",
    "number": "1467709675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 LENA BUNN CT",
            "city": "ROLESVILLE",
            "state": "NC",
            "postal_code": "275719526",
            "telephone_number": "919-500-3909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 FALLS OF NEUSE RD STE 114",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276153450",
            "telephone_number": "919-676-4242",
            "fax_number": "919-676-4246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REEVES",
        "first_name": "REBECCA",
        "middle_name": "ELLIOTT",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-07",
        "last_updated": "2021-11-01",
        "certification_date": "2021-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "ME",
            "license": "DEN4258",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "10921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.