Individual provider Active NPI

William Martin Reuss IV, DDS

  • General Practice Dentistry
  • Anderson, CA
National Provider Identifier
1881821064
Registry record updated Jun 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
46519 Issued in CA
Practice address
1930 North Barney St.
Anderson, CA 96007
Phone
(530) 365-4581
Fax
(530) 365-4871
NPI assigned
Jun 16, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 46519 CA Primary

Addresses

Primary practice location

1930 North Barney St.
Anderson, CA 96007

Mailing address

1930 North Barney St.
Anderson, CA 96007
Phone (530) 365-4581

Other identifiers 1

IdentifierTypeStateIssuer
46519OtherCASTATE LICENSE NUMBER

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

Practice roles

OrganizationSpecialtyStatusNew patients
Doctors Digital Scanning Past Accepting new patients
William M. Reuss III General Practice 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.

NPI Registry JSON

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

{
    "created_epoch": "1245110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245110400000",
    "number": "1881821064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 NORTH BARNEY ST.",
            "city": "ANDERSON",
            "state": "CA",
            "postal_code": "96007",
            "telephone_number": "530-365-4581",
            "fax_number": "530-365-4871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 NORTH BARNEY ST.",
            "city": "ANDERSON",
            "state": "CA",
            "postal_code": "96007",
            "telephone_number": "530-365-4581",
            "fax_number": "530-365-4871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REUSS",
        "first_name": "WILLIAM",
        "middle_name": "MARTIN",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-16",
        "last_updated": "2009-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "46519",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "46519",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2009; 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.