Active NPI
Vanessa Reuter, DDS
- Endodontics
- Birmingham, AL
National Provider Identifier
1669637914
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 2009007436
- Practice address
- 9133 Parkway E Ste 101B
Birmingham, AL 35206-1500 - Phone
- (205) 836-7276
- Fax
- (205) 833-7435
- NPI assigned
- Jul 26, 2008
- Last updated
- Jan 18, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 2009007436 | MO | Primary |
Addresses
Primary practice location
9133 Parkway E Ste 101B
Birmingham, AL 35206-1500
Mailing address
100 Chesterfield Business Pkwy Ste 315
Chesterfield, MO 63005-1271
Phone (636) 729-1199
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12335 | Other | 12345 |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | 12345 |
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 |
|---|---|---|---|
| 2009007436 | MO | MD | Endodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifetime Dental Care of Missouri, Richard Straus, D.M.D., P.C. | Current | Accepting new patients | |
| Hometown Family Dentistry, PC | Dentist | Past | Accepting new patients |
Locations
100 Chesterfield Business Pkwy
Ste 315
Chesterfield, MO 63005
Phone (636) 728-1199
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Premier Dental Partners Chesterfield
- General Practice Dentistry
- Chesterfield, MO
- NPI 1699423491
-
- Dentist
- Birmingham, AL
- NPI 1487746871
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610928000000",
"number": "1669637914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 CHESTERFIELD BUSINESS PKWY STE 315",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "630051271",
"telephone_number": "636-729-1199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9133 PARKWAY E STE 101B",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352061500",
"telephone_number": "205-836-7276",
"fax_number": "205-833-7435"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REUTER",
"first_name": "VANESSA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-26",
"last_updated": "2021-01-18",
"certification_date": "2021-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "MO",
"license": "2009007436",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "12345",
"identifier": "12335",
"state": null
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "12345",
"affiliation": "N",
"address_1": "100 Chesterfield Business Pkwy Ste 315",
"city": "Chesterfield",
"state": "MO",
"country_code": "US",
"postal_code": "630051271",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.