Matthew E Reyering, D.D.S.
Individual provider Active NPI Dentist · O'Fallon, MO
NPI 1942556808 · NPPES record last updated Dec 12, 2025
Key facts
- NPI
- 1942556808
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 2012017716 (MO)
- Practice address
- 110 Montrachet Dr.
O'Fallon, MO 63368 - Phone
- (636) 978-4848
- Fax
- (636) 978-4862
- NPI assigned
- Jul 30, 2012
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150511000315 | MO | Order and Referring Only - Dentist |
5496074643 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dardenne Dental Arts | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2012017716 | MO | Yes |
Addresses
Primary practice location
110 Montrachet Dr.
O'Fallon, MO 63368
Mailing address
110 Montrachet Dr.
O Fallon, MO 63368-4897
Phone (636) 978-4848
Other providers in O'Fallon, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 12, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.