Alexander Reimann, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5233 Issued in ID

Practice address

813 N Stilson Rd Ste B
Boise, ID 83703-5119

Phone

(208) 342-4644

NPI assigned

Jul 20, 2016

Last updated

Oct 9, 2024By 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 2

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 Oct 1, 2025 through Oct 1, 2027

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

• Millennium Family Dental - Boise LLC

  • General Practice Dentistry
  • Boise, ID
  • NPI 1104925064
  NPD (past)
• Stilson Dental Partnership PLLC

  • General Practice Dentistry
  • Boise, ID
  • NPI 1669984902
  NPD (past)

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

{
    "created_epoch": "1468972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1578916029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 N STILSON RD STE B",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837035119",
            "telephone_number": "208-342-4644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 N STILSON RD STE B",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837035119",
            "telephone_number": "208-342-4644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REIMANN",
        "first_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-20",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "100489",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "5233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Troy Lynn Reid, PT
• Tyler Reidhead, D.C.
• Karl Andrew Reierson, PT, DPT
• June Reiling, CNP
• John Reilly, PT
• Kathleen E Reineck
• Kristine M. Reinhardt, N.P.
• Billie Reinhold
• Stephen Thomas Reinschmidt, O.D.
• Sophia Ann Reis

• General Practice Dentistry in Boise, ID
• Providers in Boise, ID by specialty
• General Practice Dentistry in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; 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.