Reva M Barewal, D.D.S.,M.S.

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

D8178 Issued in 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

Last updated

Nov 14, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 1, 2017 through Jan 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Fusion Dental Specialists

  • Customized Equipment (DME)
  • Happy Valley, OR
  • NPI 1972906428
  NPD (past) Authorized official
• Panagiota Stathopoulou DMD LLC

  dba Fusion Dental Specialists

  • Prosthodontics
  • Happy Valley, OR
  • NPI 1790415537
  NPD (past)

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352851200000",
    "number": "1689888786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9300 SE 91ST AVE STE 403",
            "city": "HAPPY VALLEY",
            "state": "OR",
            "postal_code": "970863762",
            "telephone_number": "503-653-2299",
            "fax_number": "503-774-4154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 SE 91ST AVE STE 403",
            "city": "HAPPY VALLEY",
            "state": "OR",
            "postal_code": "970863762",
            "telephone_number": "503-653-2299",
            "fax_number": "503-774-4154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAREWAL",
        "first_name": "REVA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.D.S.,M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-09",
        "last_updated": "2012-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "OR",
            "license": "D8178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mackenzi Badger
• Sung-Yeob Phillips Baik, DDS
• Katherine Baker
• Rochelle Marie Barber, LMT
• Barefoot and Balanced, LLC
• Ivana Karmen Baricevic
• Richard J Barsotti, MD
• Patrick W. Bauer, MD
• Albert Sessions Belais, LCSW
• Antwon Tashaad Bell

• Prosthodontics in Happy Valley, OR
• Providers in Happy Valley, OR by specialty
• Prosthodontics in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.