REAVES DENTAL PRACTICE, PLLC
NPI 1124264866
Clinic/Center - Dental in New Hartford, NY
About Reaves Dental Practice, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
REAVES DENTAL PRACTICE, PLLC (NPI 1124264866) is a healthcare organization registered as a dental in New Hartford, New York and active in the NPI registry since December 2008. The organization lists Justin J Reaves, Owner - General Dentist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Reaves Dental Practice, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Reaves Dental Practice, PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Reaves Dental Practice, PLLC's NPI number?
The NPI number for Reaves Dental Practice, PLLC is 1124264866. It was assigned to this organization in the NPPES registry on December 31, 2008.
Where is Reaves Dental Practice, PLLC located?
Reaves Dental Practice, PLLC is located at 4301 Middle Settlement Rd, New Hartford, NY 13413. The listed phone number is (315) 736-0139.
What is Reaves Dental Practice, PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.
Is Reaves Dental Practice, PLLC enrolled in Medicare?
Yes. Reaves Dental Practice, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Reaves Dental Practice, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Oral Surgery) reassigns their Medicare billing to Reaves Dental Practice, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Reaves Dental Practice, PLLC was last updated on November 5, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Reaves Dental Practice, Pllc · NPI 1124264866
Dental organization in New Hartford, New York. Organization record, active in the CMS NPPES registry since December 31, 2008.
## Identity
- **NPI:** 1124264866 (Entity type: Organization)
- **Enumerated:** December 31, 2008
- **Primary specialty:** Clinic/Center - Dental · taxonomy 261QD0000X
- **Organization subpart:** No
- **Authorized official:** Justin Reaves, OWNER - GENERAL DENTIST
## Practice location
- **Address:** 4301 MIDDLE SETTLEMENT RD, New Hartford, NY 13413-5317
- **Phone:** (315) 736-0139 · **Fax:** (315) 768-6148
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Oral Surgery) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 5, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1124264866) · Data from the CMS NPPES public registry.