Active NPI
Kevin Reuter, DDS
- General Practice Dentistry
- Santa Clara, CA
National Provider Identifier
1952826331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 101769
- Practice address
- 265 Crestview Dr Ste a
Santa Clara, CA 95050-6503 - Phone
- (408) 669-5400
- NPI assigned
- Aug 7, 2017
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 101769 | CA | Primary |
Addresses
Primary practice location
265 Crestview Dr Ste a
Santa Clara, CA 95050-6503
Mailing address
1115 Queen Anne Dr
San Jose, CA 95129-4040
Phone (408) 207-3141
Other practice location 1
1017 Mission St
Santa Cruz, CA 95060-3524
Phone (831) 426-3535
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 |
|---|---|---|---|
| 101769 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Santa Cruz Dental Group | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Dentist
- Santa Cruz, CA
- NPI 1962952762
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1952826331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1115 QUEEN ANNE DR",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951294040",
"telephone_number": "408-207-3141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "265 CRESTVIEW DR STE A",
"city": "SANTA CLARA",
"state": "CA",
"postal_code": "950506503",
"telephone_number": "408-669-5400"
}
],
"practiceLocations": [
{
"address_1": "1017 Mission St",
"address_purpose": "LOCATION",
"city": "Santa Cruz",
"state": "CA",
"postal_code": "950603524",
"country_code": "US",
"telephone_number": "831-426-3535",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REUTER",
"first_name": "KEVIN",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-08-07",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "101769",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Clara, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.