Jamie Reiter, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

DN17827 Issued in FL

Practice address

12720 S Orange Blossom TRL
# 22
Orlando, FL 32837-6225

Phone

(407) 240-2255

NPI assigned

Aug 15, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• South Familia Dental PA

  • Dental Clinic/Center
  • Orlando, FL
  • NPI 1871043018
  NPD (past)

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340496000000",
    "number": "1588777650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12720 S ORANGE BLOSSOM TRL",
            "address_2": "# 22",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328376225",
            "telephone_number": "407-240-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12720 S ORANGE BLOSSOM TRL",
            "address_2": "# 22",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328376225",
            "telephone_number": "407-240-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REITER",
        "first_name": "JAMIE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2012-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901019143",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN17827",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4815702",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA DENTAL",
            "identifier": "88109",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danielle Reischer
• Mary K. Reischmann
• Ellen S Reising
• Alicia B Reiss, PAC
• Amanda Grace Reiter, PHARMD
• Yadiris Reiter, DMD
• Joshua David Reitzfeld, CRNA
• Romny M Rejouis, HSC II
• Rejuvinex Medical Center, LLC
• Vijaya Rekha, MD

• Dentist in Orlando, FL
• Providers in Orlando, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2012; 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.