Individual provider Active NPI

Reeya Patel, DMD

  • Dentist
  • Smyrna, GA
National Provider Identifier
1750166138
Registry record updated Aug 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN123214 Issued in GA
Practice address
4849 S Cobb Dr SE Ste 111
Smyrna, GA 30080-7129
Phone
(770) 435-5450
NPI assigned
Aug 25, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN123214 GA Primary

Addresses

Primary practice location

4849 S Cobb Dr SE Ste 111
Smyrna, GA 30080-7129

Mailing address

1026 E 24TH Ave
Cordele, GA 31015-2109
Phone (478) 955-0070

Other practice location 1

2295 Parklake Dr NE Ste 200
Atlanta, GA 30345-2812
Phone (678) 534-1010

Other practice location 2

1775 Woodstock Rd Ste 350
Roswell, GA 30075-8222
Phone (770) 992-3353

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

LicenseStateTypeSpecialty
DN123214GAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Reich Dental Center Roswell LLC Past Accepting new patients
Reich Dental Center Tucker PC PastSince Sep 25, 2022 Accepting new patients
Robert C. Marshall, D.D.S., P.C. Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1692921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692921600000",
    "number": "1750166138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1026 E 24TH AVE",
            "city": "CORDELE",
            "state": "GA",
            "postal_code": "310152109",
            "telephone_number": "478-955-0070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4849 S COBB DR SE STE 111",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300807129",
            "telephone_number": "770-435-5450"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2295 Parklake Dr NE Ste 200",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303452812",
            "country_code": "US",
            "telephone_number": "678-534-1010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1775 Woodstock Rd Ste 350",
            "address_purpose": "LOCATION",
            "city": "Roswell",
            "state": "GA",
            "postal_code": "300758222",
            "country_code": "US",
            "telephone_number": "770-992-3353",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "REEYA",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-25",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN123214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2023; 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.