Robert Alexander Peter Reti, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

2013006620 Issued in MO

Practice address

10000 Watson Rd
A
Saint Louis, MO 63126-1841

Phone

(314) 822-3322

Fax

(314) 822-0537

NPI assigned

Jul 15, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Interoperability endpoints

• Direct secure messaging: robert.reti.p1@direct.affiniahealthcare.nextgenshare.com

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.

• St Louis University

  • Optician
  • Saint Louis, MO
  • NPI 1487869863
  NPD (past)

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

{
    "created_epoch": "1247616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438905600000",
    "number": "1821228628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10000 WATSON RD",
            "address_2": "A",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631261841",
            "telephone_number": "314-822-3322",
            "fax_number": "314-822-0537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 WATSON RD",
            "address_2": "A",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631261841",
            "telephone_number": "314-822-3322",
            "fax_number": "314-822-0537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RETI",
        "first_name": "ROBERT",
        "middle_name": "ALEXANDER PETER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-15",
        "last_updated": "2015-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MO",
            "license": "2013006620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Response Care Solutions Group LLC
• Response to Care
• Rest Care Home Health Ser.
• Restore Center for Endometriosis, LLC
• Restore Muscle and Joint SL, LLC
• Retina & Vitreous Consultants Inc
• Retina Center PC
• Return the Favor Home Care Services LLC
• Andrea R Reubin, MSW
• Reunite, LLC

• Oral and Maxillofacial Surgery (Dentist) in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Oral and Maxillofacial Surgery (Dentist) in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2015; 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.