Individual provider Active NPI

David L Reimche-Vu, DDS

  • General Practice Dentistry
  • Goldendale, WA
National Provider Identifier
1982806865
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE00007811 Issued in WA
Practice address
615 E Collins St
Goldendale, WA 98620-9213
Phone
(509) 773-5866
Fax
(509) 773-4061
NPI assigned
Jun 4, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DE00007811 WA Primary

Addresses

Primary practice location

615 E Collins St
Goldendale, WA 98620-9213

Mailing address

292 Old Stage Rd
Goldendale, WA 98620-2810
Phone (509) 773-6250

Other identifiers 2

IdentifierTypeStateIssuer
5026679MedicaidWA
5026695MedicaidWA

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
DE00007811WAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
David and Brenda Reimche-Vu, DDS, PS General Practice PastSince Jan 1, 1990 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.

NPI Registry JSON

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1982806865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "292 OLD STAGE RD",
            "city": "GOLDENDALE",
            "state": "WA",
            "postal_code": "986202810",
            "telephone_number": "509-773-6250",
            "fax_number": "509-773-6479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 E COLLINS ST",
            "city": "GOLDENDALE",
            "state": "WA",
            "postal_code": "986209213",
            "telephone_number": "509-773-5866",
            "fax_number": "509-773-4061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REIMCHE-VU",
        "first_name": "DAVID",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-04",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00007811",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5026679",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5026695",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Goldendale, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.

Verify at the official NPI Registry.