Paul Zachary Rees, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DS022302L Issued in PA

Practice address

200 South St
Ridgway, PA 15853-2011

Phone

(814) 776-1293

Fax

(814) 772-3907

NPI assigned

Jan 11, 2008

Sex

Male

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

Enrolled in PA

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.

Enrollment records 1

Medicare enrollment (NPD)

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.

• Porco Family Dental PLLC

  • General Practice Dentistry
  • Ridgway, PA
  • NPI 1619680485
  NPD (past)

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

{
    "created_epoch": "1200009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200009600000",
    "number": "1609052349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 SOUTH ST",
            "city": "RIDGWAY",
            "state": "PA",
            "postal_code": "158532011",
            "telephone_number": "814-776-1293",
            "fax_number": "814-772-3907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SOUTH ST",
            "city": "RIDGWAY",
            "state": "PA",
            "postal_code": "158532011",
            "telephone_number": "814-776-1293",
            "fax_number": "814-772-3907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REES",
        "first_name": "PAUL",
        "middle_name": "ZACHARY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-11",
        "last_updated": "2008-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS022302L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hridayesh K Pathak, M.D.
• Gregory Regis Petrosky, PT
• Porco Family Dental PLLC
• Tyler Porco, DMD
• Medapally P Reddy, M.D.
• Alyse Renwick
• Restful Nights Sleep Center
• Ridgway Ambulance Corporation
• Ridgway Area School District
• Rite Aid of Pennsylvania LLC

• Dentist in Ridgway, PA
• Providers in Ridgway, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.