Organization Active NPI

Reamer Family Dentistry LLC

  • Dentist
  • Spokane Valley, WA
National Provider Identifier
1922301407
Registry record updated Dec 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
REAMER FAMILY DENTISTRY LLC
Practice address
12805 E Sprague Ave
Spokane Valley, WA 99216-0795
Phone
(509) 924-5661
Fax
(509) 924-5978
NPI assigned
Dec 6, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2010

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

Authorized official

Name
Dr. Paul Francis Reamer, D.D.S.NPI 1487688123
Title
Dentist
Phone
(509) 924-5661

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X WA Primary

Addresses

Primary practice location

12805 E Sprague Ave
Spokane Valley, WA 99216-0795

Mailing address

12805 E Sprague Ave
Spokane Valley, WA 99216-0795
Phone (509) 924-5661

Other identifiers 1

IdentifierTypeStateIssuer
5025820MedicaidWA

National Provider Directory

National Provider Directory

Locations

12805 E Sprague Ave
Spokane Valley, WA 99216
Phone (509) 922-2353

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1291593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291593600000",
    "number": "1922301407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12805 E SPRAGUE AVE",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992160795",
            "telephone_number": "509-924-5661",
            "fax_number": "509-924-5978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12805 E SPRAGUE AVE",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992160795",
            "telephone_number": "509-924-5661",
            "fax_number": "509-924-5978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REAMER FAMILY DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-06",
        "last_updated": "2010-12-06",
        "status": "A",
        "authorized_official_last_name": "REAMER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "FRANCIS",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "509-924-5661",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5025820",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane Valley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2010; 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.