Individual provider Active NPI

Laura Elisabeth Rein, DMD, MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • San Diego, CA
National Provider Identifier
1851750814
Registry record updated Feb 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
63411 Issued in CA
Practice address
306 Walnut Ave
Suite #33
San Diego, CA 92103-4978
Phone
(619) 299-3560
NPI assigned
Feb 18, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 63411 CA Primary

Addresses

Primary practice location

306 Walnut Ave
Suite #33
San Diego, CA 92103-4978

Mailing address

8419 Cliffridge LN
La Jolla, CA 92037-2119
Phone (858) 945-7175

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161020001213 CA Order and Referring Only - DentistPractitioner - Dentist 9931487246

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1455753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455753600000",
    "number": "1851750814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8419 CLIFFRIDGE LN",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920372119",
            "telephone_number": "858-945-7175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 WALNUT AVE",
            "address_2": "SUITE #33",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921034978",
            "telephone_number": "619-299-3560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REIN",
        "first_name": "LAURA",
        "middle_name": "ELISABETH",
        "name_prefix": "Dr.",
        "credential": "DMD, MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-18",
        "last_updated": "2016-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "63411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.