Active NPI
Jill Rene Reitmeyer, D.D.S.
- Dentist
- Bloomington, IN
National Provider Identifier
1720370059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 12011597A
- Practice address
- 1602 W 3Rd St
Bloomington, IN 47404-5094 - Phone
- (812) 339-7700
- NPI assigned
- May 4, 2011
- Last updated
- Jan 3, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 12011597A | IN | Primary |
Addresses
Primary practice location
1602 W 3Rd St
Bloomington, IN 47404-5094
Mailing address
3929 E 3Rd St
Bloomington, IN 47401-5554
Phone (812) 336-3057
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12011597A | IN | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bloomington Southside Dental Care. LLC | Current | Accepting new patients | |
| Dental Care Action Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Practice Dentistry
- Bloomington, IN
- NPI 1437890290
-
dba Dental Care Center
- General Practice Dentistry
- Bloomington, IN
- NPI 1477765022
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357171200000",
"number": "1720370059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3929 E 3RD ST",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474015554",
"telephone_number": "812-336-3057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1602 W 3RD ST",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474045094",
"telephone_number": "812-339-7700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REITMEYER",
"first_name": "JILL",
"middle_name": "RENE",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-05-04",
"last_updated": "2013-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IN",
"license": "12011597A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bloomington, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.