Individual provider Active NPI

Bryce Reiser, D.M.D

  • Dentist
  • Denver, CO
National Provider Identifier
1710225222
Registry record updated Jan 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DEN.00202621 Issued in CO
Practice address
5050 E Cherry Creek South Dr Ste 1
Denver, CO 80246-3903
Phone
(303) 758-5811
NPI assigned
Jan 18, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0401413703 VA
Dentist 122300000X DEN.00202621 CO Primary

Addresses

Primary practice location

5050 E Cherry Creek South Dr Ste 1
Denver, CO 80246-3903

Mailing address

5050 E Cherry Creek South Dr Ste 1
Denver, CO 80246-3903
Phone (303) 758-5811

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160421001770 CO Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 0941509137

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DEN.00202621COMDDentist
0401413703VAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1358467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579046400000",
    "number": "1710225222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5050 E CHERRY CREEK SOUTH DR STE 1",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802463903",
            "telephone_number": "303-758-5811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5050 E CHERRY CREEK SOUTH DR STE 1",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802463903",
            "telephone_number": "303-758-5811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REISER",
        "first_name": "BRYCE",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-18",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401413703",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "DEN.00202621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.