Veronica Reyes, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

2594 Issued in NE

Practice address

638 N Webb Rd Ste 1
Grand Island, NE 68803-4057

Phone

(308) 381-0167

NPI assigned

Dec 10, 2018

Sex

Female

Sole proprietor

Yes

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

Practice roles

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.

• Island View Dental P.C.

  • General Practice Dentistry
  • Grand Island, NE
  • NPI 1003182783
  NPD (past)

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

{
    "created_epoch": "1544400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544400000000",
    "number": "1467923995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 E 16TH ST",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688012523",
            "telephone_number": "402-519-8455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "638 N WEBB RD STE 1",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688034057",
            "telephone_number": "308-381-0167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "VERONICA",
        "name_prefix": "Ms.",
        "credential": "RDH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-10",
        "last_updated": "2018-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "NE",
            "license": "2594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan K Retzlaff Deitrick, PA-C
• Tara Public Retzlaff
• Evan Reutter
• Revive Behavioral Health and Wellness LLC
• Flor Reyes Mendoza, OTR/L
• Tammy Reyna
• Dollie Reynolds
• Nicholas Ray Rhamy
• Mary Irene Rhoads, RN
• Yoenia Ricardo Bordallo

• Dental Hygienist in Grand Island, NE
• Providers in Grand Island, NE by specialty
• Dental Hygienist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2018; 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.