Active NPI
Keith R Reber, DPM
- Foot & Ankle Surgery Podiatrist
- St George, UT
National Provider Identifier
1669479358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 103861-0501
- Practice address
- 754 S Main St
Suite 3
St George, UT 84770-5504 - Phone
- (435) 628-2671
- Fax
- (435) 634-1601
- NPI assigned
- Jul 7, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 103861-0501 | UT | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 103861-0501 | UT | Primary |
Addresses
Primary practice location
754 S Main St
Suite 3
St George, UT 84770-5504
Mailing address
754 S Main St
Suite 3
St George, UT 84770-5504
Phone (435) 628-2671
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paiute Indian Tribe of Utah | Past | Accepting new patients | |
| Paiute Indian Tribe of Utah | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Clinic/Center
- Cedar City, UT
- NPI 1700062296
-
- Federally Qualified Health Center (FQHC)
- St George, UT
- NPI 1801063441
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389571200000",
"number": "1669479358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "754 S MAIN ST",
"address_2": "SUITE 3",
"city": "ST GEORGE",
"state": "UT",
"postal_code": "847705504",
"telephone_number": "435-628-2671",
"fax_number": "435-634-1601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "754 S MAIN ST",
"address_2": "SUITE 3",
"city": "ST GEORGE",
"state": "UT",
"postal_code": "847705504",
"telephone_number": "435-628-2671",
"fax_number": "435-634-1601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REBER",
"first_name": "KEITH",
"middle_name": "R",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-07",
"last_updated": "2014-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "UT",
"license": "103861-0501",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "UT",
"license": "103861-0501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St George, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.