Individual provider Active NPI

Steven Michael Reeves, D.D.S.

  • General Practice Dentistry
  • Des Moines, WA
National Provider Identifier
1689719643
Registry record updated Dec 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE00005196 Issued in WA
Practice address
21904 Marine View Dr S
Suite a
Des Moines, WA 98198-6103
Phone
(206) 824-2804
Fax
(206) 824-4386
NPI assigned
Feb 20, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DE00005196 WA Primary

Addresses

Primary practice location

21904 Marine View Dr S
Suite a
Des Moines, WA 98198-6103

Mailing address

21904 Marine View Dr S
Suite a
Des Moines, WA 98198-6103
Phone (206) 824-2804

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

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229990400000",
    "number": "1689719643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21904 MARINE VIEW DR S",
            "address_2": "SUITE A",
            "city": "DES MOINES",
            "state": "WA",
            "postal_code": "981986103",
            "telephone_number": "206-824-2804",
            "fax_number": "206-824-4386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21904 MARINE VIEW DR S",
            "address_2": "SUITE A",
            "city": "DES MOINES",
            "state": "WA",
            "postal_code": "981986103",
            "telephone_number": "206-824-2804",
            "fax_number": "206-824-4386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REEVES",
        "first_name": "STEVEN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-20",
        "last_updated": "2008-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00005196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2008; 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.