Ian Reuter, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

D-0007092-C1 Issued in AL

Practice address

12205 County Line Rd Ste a
Madison, AL 35758-7720

Phone

(256) 772-9988

NPI assigned

Jul 24, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1658620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658620800000",
    "number": "1922733856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 PROVIDENCE MAIN ST NW UNIT 206",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358064834",
            "telephone_number": "605-381-1568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12205 COUNTY LINE RD STE A",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357587720",
            "telephone_number": "256-772-9988"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1815 Somerville Rd SE Ste A",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "AL",
            "postal_code": "356015015",
            "country_code": "US",
            "telephone_number": "256-355-2275",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "105 Hine St S",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "AL",
            "postal_code": "356112323",
            "country_code": "US",
            "telephone_number": "256-232-1404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REUTER",
        "first_name": "IAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-24",
        "last_updated": "2022-07-24",
        "certification_date": "2022-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AL",
            "license": "D-0007092-C1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2022; 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.