Active NPI
Patricia Marie Reach, DMD
- Dentist
- Panama City Beach, FL
National Provider Identifier
1982305439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 25057
- Practice address
- 131 Bid a Wee LN
Panama City Beach, FL 32413-2762 - Phone
- (850) 624-3095
- NPI assigned
- Mar 13, 2023
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 25057 | FL | Primary |
Addresses
Primary practice location
131 Bid a Wee LN
Panama City Beach, FL 32413-2762
Mailing address
131 Bid a Wee LN
Panama City Beach, FL 32413-2762
Phone (850) 624-3095
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 |
|---|---|---|---|
| 25057 | FL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678665600000",
"number": "1982305439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "131 BID A WEE LN",
"city": "PANAMA CITY BEACH",
"state": "FL",
"postal_code": "324132762",
"telephone_number": "850-624-3095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "131 BID A WEE LN",
"city": "PANAMA CITY BEACH",
"state": "FL",
"postal_code": "324132762",
"telephone_number": "850-624-3095"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REACH",
"first_name": "PATRICIA",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-13",
"last_updated": "2023-03-13",
"certification_date": "2023-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "25057",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Panama City Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.