Active NPI
Lila Jean Reich, RPTA
- Contractor
- Dewar, OK
National Provider Identifier
1932319407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- TA260
- Practice address
- 108 South Berkey
Dewar, OK 74431-0416 - Phone
- (918) 652-4376
- Fax
- (918) 652-4376
- NPI assigned
- May 23, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | TA260 | OK | Primary |
Addresses
Primary practice location
108 South Berkey
Dewar, OK 74431-0416
Mailing address
PO Box 416
Dewar, OK 74431-0416
Phone (918) 652-4376
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TA260 | OK | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1932319407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 416",
"city": "DEWAR",
"state": "OK",
"postal_code": "744310416",
"telephone_number": "918-652-4376",
"fax_number": "918-652-4376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 SOUTH BERKEY",
"city": "DEWAR",
"state": "OK",
"postal_code": "744310416",
"telephone_number": "918-652-4376",
"fax_number": "918-652-4376"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REICH",
"first_name": "LILA",
"middle_name": "JEAN",
"name_prefix": "Mrs.",
"credential": "RPTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "OK",
"license": "TA260",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dewar, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.