Active NPI
David Reil, DPM
- Student in an Organized Health Care Education/Training Program
- Greeley, CO
National Provider Identifier
1659113108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- PDT.0000625
- Practice address
- 1600 23Rd Ave
Greeley, CO 80634-6070 - Phone
- (970) 810-2847
- NPI assigned
- Jun 6, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | PDT.0000625 | CO | Primary |
Addresses
Primary practice location
1600 23Rd Ave
Greeley, CO 80634-6070
Mailing address
5551 29TH St Unit 2914
Greeley, CO 80634-8322
Phone (208) 346-3253
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PDT.0000625 | CO | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718064000000",
"number": "1659113108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5551 29TH ST UNIT 2914",
"city": "GREELEY",
"state": "CO",
"postal_code": "806348322",
"telephone_number": "208-346-3253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 23RD AVE",
"city": "GREELEY",
"state": "CO",
"postal_code": "806346070",
"telephone_number": "970-810-2847"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REIL",
"first_name": "DAVID",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-06-06",
"last_updated": "2024-06-11",
"certification_date": "2024-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CO",
"license": "PDT.0000625",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greeley, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.