Individual provider Active NPI

Lori Emerson Reetz, RDH, BSDH

  • Dental Hygienist
  • Anchorage, AK
National Provider Identifier
1669124186
Registry record updated Jan 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
DENH800 Issued in AK
Practice address
7251 Cantonment CT
Anchorage, AK 99507-2861
Phone
(907) 632-5308
NPI assigned
Jan 25, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X DENH800 AK Primary

Addresses

Primary practice location

7251 Cantonment CT
Anchorage, AK 99507-2861

Mailing address

7251 Cantonment CT
Anchorage, AK 99507-2861
Phone (907) 632-5308

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

LicenseStateTypeSpecialty
DENH800AKMDDental Hygienist

NPI Registry JSON

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

{
    "created_epoch": "1643068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643068800000",
    "number": "1669124186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7251 CANTONMENT CT",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995072861",
            "telephone_number": "907-632-5308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7251 CANTONMENT CT",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995072861",
            "telephone_number": "907-632-5308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REETZ",
        "first_name": "LORI",
        "middle_name": "EMERSON",
        "credential": "RDH, BSDH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-25",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "AK",
            "license": "DENH800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; 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.