Jerome Michael Rinaldi, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS036961 Issued in PA

Practice address

226 Broadway
Bangor, PA 18013-2528

Phone

(610) 588-5151

Fax

(610) 588-6135

NPI assigned

Oct 20, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Networks

• devoted network organization-9f3dfbd3-4aa6-4c92-8e71-9c4ed35ce037
• devoted network organization-598bd2d4-c652-473f-ba7a-132f674c8eb6
• devoted network organization-8ee96498-f86e-45f6-9fc9-a0f06c1636f9

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.

• Rinaldi Family Dentistry, LLC

  • General Practice Dentistry
  • Bangor, PA
  • NPI 1346781424
  NPD (past) Authorized official

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

{
    "created_epoch": "1287532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287532800000",
    "number": "1003126392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 BROADWAY",
            "city": "BANGOR",
            "state": "PA",
            "postal_code": "180132528",
            "telephone_number": "610-588-5151",
            "fax_number": "610-588-6135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 BROADWAY",
            "city": "BANGOR",
            "state": "PA",
            "postal_code": "180132528",
            "telephone_number": "610-588-5151",
            "fax_number": "610-588-6135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RINALDI",
        "first_name": "JEROME",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-20",
        "last_updated": "2010-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS036961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reflective Artistry Studio and Counseling, LLC
• Lauren Evan Regina, R.D.
• Amelia Marie Renshaw, MSW, LCSW
• Resources for Human Development
• Rinaldi Family Dentistry, LLC
• Edward Leo Rising, COTA
• Rite Aid of Pennsylvania LLC
• Robert F McEvoy MD LLC
• Melissa Rogers
• Kelly Morris Roling

• General Practice Dentistry in Bangor, PA
• Providers in Bangor, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2010; 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.