William Rudyard Reeves Jr., DDS MS PC

Primary specialty

DentistTaxonomy code 122300000X

License

19019 Issued in TX

Practice address

2613 E Highway 377 Ste 101
Granbury, TX 76049-6129

Phone

(817) 573-8383

Fax

(817) 573-8484

NPI assigned

Aug 20, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• William R Reeves, Jr DDS PC

  • General Practice Dentistry
  • Granbury, TX
  • NPI 1467716332
  NPD (past) Authorized official

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339459200000",
    "number": "1831204007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2613 E HIGHWAY 377 STE 101",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760496129",
            "telephone_number": "817-573-8383",
            "fax_number": "817-573-8484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2613 E HIGHWAY 377 STE 101",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760496129",
            "telephone_number": "817-573-8383",
            "fax_number": "817-573-8484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REEVES",
        "first_name": "WILLIAM",
        "middle_name": "RUDYARD",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS MS PC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2012-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "19019",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "19019",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca S. Shank MD PA
• Margaret L Reddington, LPC
• Redi Care Management LLC
• Kathleen Dawn Reed, M.ED. LPC
• Jon Michael Reeves, RPH
• Rehn Enterprise LLC
• Sarah Rehn
• Lauren Jean Reiter, LCSW
• Renal Treatment Centers Southeast LP
• Rhema Inc

• Dentist in Granbury, TX
• Providers in Granbury, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2012; 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.