Michael Joseph Reese, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5001328-015 Issued in WI

Practice address

3070 Fish Hatchery Rd
Suite 100
Fitchburg, WI 53713-3187

Phone

(608) 274-6232

Fax

(608) 274-9444

NPI assigned

Aug 21, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jun 23, 2014 through Jun 23, 2028

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Fitchburg Dental Clinic, S.C.

  • General Practice Dentistry
  • Fitchburg, WI
  • NPI 1114083342
  Authorized official Same address or phone

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1558477760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3070 FISH HATCHERY RD",
            "address_2": "SUITE 100",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537133187",
            "telephone_number": "608-274-6232",
            "fax_number": "608-274-9444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3070 FISH HATCHERY RD",
            "address_2": "SUITE 100",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537133187",
            "telephone_number": "608-274-6232",
            "fax_number": "608-274-9444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REESE",
        "first_name": "MICHAEL",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "5001328-015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pichaya Sarasombath Ratarasarn, M.D.
• Diana K Rayburn, OTR/L
• Lark Lauren Reasoner, MD
• Victor Jose Recalde, BS, MS
• Diane Recob, CAPSW
• Lacey Lenee Reeson, MS CCC SLP
• Madison Nichole Reiber, DC
• Richard M Reich, MD
• Emily Dolores Reinstad, NP
• Nancy Ann Renier, RN

• General Practice Dentistry in Fitchburg, WI
• Providers in Fitchburg, 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 Jul 8, 2007; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.