Reva M Barewal, D.D.S.,M.S.
Individual provider Active NPI Prosthodontics · Happy Valley, OR
NPI 1689888786 · NPPES record last updated Nov 14, 2012
Key facts
- NPI
- 1689888786
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Prosthodontics 1223P0700X
- License
- D8178 (OR)
- Practice address
- 9300 SE 91St Ave Ste 403
Happy Valley, OR 97086-3762 - Phone
- (503) 653-2299
- Fax
- (503) 774-4154
- NPI assigned
- May 9, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
- Opted out of Medicare
- Yes, effective Jan 1, 2017 through Jan 1, 2027
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Panagiota Stathopoulou DMD LLC | Prosthodontics | Past |
Accepting new patients |
| Fusion Dental Specialists | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | D8178 | OR | Yes |
Addresses
Primary practice location
9300 SE 91St Ave Ste 403
Happy Valley, OR 97086-3762
Mailing address
9300 SE 91St Ave Ste 403
Happy Valley, OR 97086-3762
Phone (503) 653-2299
Other providers in Happy Valley, OR
- Mackenzi Badger
- Sung-Yeob Phillips Baik
- Katherine Baker
- Rochelle Marie Barber
- Barefoot and Balanced, LLC
- Ivana Karmen Baricevic
- Richard J Barsotti
- Patrick W. Bauer
- Navaz Behramkamdin
- Albert Sessions Belais
All providers in Happy Valley, OR · Prosthodontics in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 14, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.