Active NPI
Kurt Gary Reineck, D.D.S.
- Dentist
- Burleson, TX
National Provider Identifier
1821201658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 21288
- Practice address
- 720 SW Wilshire Blvd
Burleson, TX 76028-5711 - Phone
- (817) 295-6141
- Fax
- (817) 295-8971
- NPI assigned
- May 8, 2007
- Sex
- Male
- Sole proprietor
- No
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 | 21288 | TX | Primary |
Addresses
Primary practice location
720 SW Wilshire Blvd
Burleson, TX 76028-5711
Mailing address
720 SW Wilshire Blvd
Burleson, TX 76028-5711
Phone (817) 295-6141
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 |
|---|---|---|---|
| 21288 | TX | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Complete LDP PLLC: | Past | Accepting new patients | |
| Complete DC, PLLC | Dentist | 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 and National Provider Directory roles.
-
- Dentist
- Burleson, TX
- NPI 1578005534
-
- General Practice Dentistry
- Burleson, TX
- NPI 1295124170
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1821201658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "720 SW WILSHIRE BLVD",
"city": "BURLESON",
"state": "TX",
"postal_code": "760285711",
"telephone_number": "817-295-6141",
"fax_number": "817-295-8971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 SW WILSHIRE BLVD",
"city": "BURLESON",
"state": "TX",
"postal_code": "760285711",
"telephone_number": "817-295-6141",
"fax_number": "817-295-8971"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REINECK",
"first_name": "KURT",
"middle_name": "GARY",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "21288",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burleson, TX
- Reed Chiropractic & Wellness Center, P.C.
- Lynedda Reeves, RBT
- Haley Kathryn Rehm, PA-C
- Truman Glen Reid, MA MSW PAP LPC
- Holly Erickson Reineck, DDS
- Reliant Pediatric Therapy Services, PC
- Allison Renbarger-Dewulf
- Rendon Volunteer Fire Department
- Resilience Counseling LLC
- Respire Creative Counseling PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.