NPIMap

Organization Active NPI

John K Reis MD PC

  • Family Medicine Physician
  • St George, UT
National Provider Identifier
1689075921
Registry record updated Sep 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
00034551 Issued in UT
Legal business name
JOHN K REIS MD PC
Practice address
3052 N Snow Canyon Pkwy
Unit 38
St George, UT 84770-6162
Phone
(801) 540-0802
NPI assigned
Sep 5, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2014

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

Authorized official

Name
Dr. John K Reis Sr., M.D.
Title
Owner
Phone
(801) 540-0802

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 00034551 UT Primary

Addresses

Primary practice location

3052 N Snow Canyon Pkwy
Unit 38
St George, UT 84770-6162

Mailing address

3052 N Snow Canyon Pkwy
Unit 38
St George, UT 84770-6162
Phone (801) 540-0802

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1409875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409875200000",
    "number": "1689075921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3052 N SNOW CANYON PKWY",
            "address_2": "UNIT 38",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847706162",
            "telephone_number": "801-540-0802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3052 N SNOW CANYON PKWY",
            "address_2": "UNIT 38",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847706162",
            "telephone_number": "801-540-0802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN K REIS MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-05",
        "last_updated": "2014-09-05",
        "status": "A",
        "authorized_official_last_name": "REIS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-540-0802",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "00034551",
            "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 Sep 5, 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.

Verify at the official NPI Registry.