Thomas H Reitz DDS SC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3953 015 Issued in WI

Legal business name

THOMAS H REITZ DDS SC

Practice address

1007 N Main St
Edgerton, WI 53534

Phone

(608) 884-3358

Fax

(608) 884-4917

NPI assigned

Aug 31, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Debra J Reitz

Title

Vice President

Phone

(608) 884-3358

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Thomas H Reitz, D.D.S., S.C.

  • General Practice Dentistry
  • Edgerton, WI
  • NPI 1548497043
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841301181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 N MAIN ST",
            "city": "EDGERTON",
            "state": "WI",
            "postal_code": "53534",
            "telephone_number": "608-884-3358",
            "fax_number": "608-884-4917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 N MAIN ST",
            "city": "EDGERTON",
            "state": "WI",
            "postal_code": "53534",
            "telephone_number": "608-884-3358",
            "fax_number": "608-884-4917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS H REITZ DDS SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REITZ",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "608-884-3358",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "3953 015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33683700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lydia Stevenson, RDN
• Charlene Fay Stipes, PTA
• Susan C. Stockel, OTR
• Joni E Sund, PA C
• Lai Thao, PA-C
• Kevin C Trampe, PHARMD
• True Health and Performance LLC
• Tonya Jo Vike, RN
• Daphne Wang, SPEECH PATHOLOGIST
• Nasra Mohamed Warsame, M.D.

• General Practice Dentistry in Edgerton, WI
• Providers in Edgerton, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.