David G. Reis MD, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

DAVID G. REIS MD, LLC

Practice address

140 Grandview Ave
Suite 204
Waterbury, CT 06708-2505

Phone

(203) 755-4476

Fax

(203) 574-3462

NPI assigned

Mar 28, 2008

Last updated

Apr 14, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. David G Reis, MD

Title

Physician

Phone

(203) 755-4476

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1206662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428969600000",
    "number": "1689846719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 GRANDVIEW AVE",
            "address_2": "SUITE 204",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067082505",
            "telephone_number": "203-755-4476",
            "fax_number": "203-574-3462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 GRANDVIEW AVE",
            "address_2": "SUITE 204",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067082505",
            "telephone_number": "203-755-4476",
            "fax_number": "203-574-3462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID G. REIS MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-28",
        "last_updated": "2015-04-14",
        "status": "A",
        "authorized_official_last_name": "REIS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "203-755-4476",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Solomon Yaw Darko, MS
• Lolither R Darling, APRN.
• Cheryl L Darlington, SW
• Heraquido Hendriul Dasilva, PHARMD
• Danielle Davenport, BA
• Sonya David
• Anne Marie Davino, LCSW
• Andrea Davis-Steele, FNP
• Aisha Angela Davis, MD
• Kate Hawkins Davis, LCSW

• Specialist in Waterbury, CT
• Providers in Waterbury, CT by specialty
• Specialist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2015; 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.