Reihaneh Mauer, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

019.030686 Issued in IL

Practice address

2409 Camargo Dr Apt 4414
Viera, FL 32940-6289

Phone

(847) 361-7471

NPI assigned

Oct 19, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1476835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571097600000",
    "number": "1700337326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 S ASHLAND AVE APT 618",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606074087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2409 CAMARGO DR APT 4414",
            "city": "VIERA",
            "state": "FL",
            "postal_code": "329406289",
            "telephone_number": "847-361-7471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAUER",
        "first_name": "REIHANEH",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-19",
        "last_updated": "2019-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.030686",
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "IL",
            "license": "021.002965",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Genevieve Macalalag, AUD
• Victoria Anne Major, PHARM.D.
• Shahan A. Manguikian, O.D.
• Mark Spears MD PLLC
• Jasmine Ann Marquardt
• Jan M McCaleb, PA-C
• Teresa Lynn McDermott, R.D.
• Michelle McEver, LCSW
• Shannen M McGinley-Vallee, DO
• Michael Martin McGowan, MS, ATC, LAT

• Dentist in Viera, FL
• Providers in Viera, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2019; 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.