Organization Active NPI

Dr Monte a Reevis DMD Inc

  • Dentist
  • Springfield, IL
National Provider Identifier
1760558472
Registry record updated Jul 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019020286 Issued in IL
Legal business name
DR MONTE A REEVIS DMD INC
Practice address
1301 J David Jones Parkway
Springfield, IL 62702-2599
Phone
(217) 522-9911
Fax
(217) 522-0052
NPI assigned
Nov 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2008

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

Authorized official

Name
Dr. Monte Alan Reevis, DMDNPI 1154584415
Title
President
Phone
(217) 522-9911

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 019020286 IL Primary

Addresses

Primary practice location

1301 J David Jones Parkway
Springfield, IL 62702-2599

Mailing address

1301 J David Jones Parkway
Springfield, IL 62702-2599
Phone (217) 522-9911

National Provider Directory

National Provider Directory

Locations

1301 J David Jones Pkwy
Springfield, IL 62702
Phone (217) 522-9911

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215734400000",
    "number": "1760558472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 J DAVID JONES PARKWAY",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627022599",
            "telephone_number": "217-522-9911",
            "fax_number": "217-522-0052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 J DAVID JONES PARKWAY",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627022599",
            "telephone_number": "217-522-9911",
            "fax_number": "217-522-0052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR MONTE A REEVIS DMD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-27",
        "last_updated": "2008-07-11",
        "status": "A",
        "authorized_official_last_name": "REEVIS",
        "authorized_official_first_name": "MONTE",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "217-522-9911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019020286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2008; 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.