Eduardo G Regalado Jr., DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

107660 Issued in MI

Practice address

3912 18 Mile
Sterling Heights, MI 48314

Phone

(586) 264-3200

Fax

(586) 264-3241

NPI assigned

Dec 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Family Dental Center PC

  • General Practice Dentistry
  • Sterling Heights, MI
  • NPI 1063690683
  NPD (past) Authorized official
• Alali PC

  • Dentist
  • Sterling Heights, MI
  • NPI 1023551777
  NPD (past)

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477618783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3912 18 MILE",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "48314",
            "telephone_number": "586-264-3200",
            "fax_number": "586-264-3241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3912 18 MILE",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "48314",
            "telephone_number": "586-264-3200",
            "fax_number": "586-264-3241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REGALADO",
        "first_name": "EDUARDO",
        "middle_name": "G",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "107660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1882470",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Phillip Reece, PROFSSIONAL
• Deante' Norrell Reed
• Rachael Reed, ATC
• Dania Reese
• Shamica Iarie Reeves
• Sudnya Rege, MS, OTR/L, CLT
• Regency Homecare Inc
• Rehab R US LLC
• Rehabone-Center for Orthopedic & Sports Physical Therapy, LLC
• Durdana Tabbussum Rehman, M.D

• General Practice Dentistry in Sterling Heights, MI
• Providers in Sterling Heights, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.