Jared Mark Reichenberger

Primary specialty

DentistTaxonomy code 122300000X

License

2009013396 Issued in MO

Practice address

10243 W 21St St N Ste 101
Wichita, KS 67205-1891

Phone

(316) 295-2858

Fax

(316) 440-7716

NPI assigned

Jun 8, 2009

Last updated

Jul 14, 2021By the provider in NPPES

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Dec 7, 2015 through Dec 7, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Emily Katherine Handley, DDS, PC

  dba Dental Care of Grandview

  • General Practice Dentistry
  • Grandview, MO
  • NPI 1073933925
  NPD (past)

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

{
    "created_epoch": "1244419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626220800000",
    "number": "1043446701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10243 W 21ST ST N STE 101",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672051891",
            "telephone_number": "316-295-2858",
            "fax_number": "316-440-7716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10243 W 21ST ST N STE 101",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672051891",
            "telephone_number": "316-295-2858",
            "fax_number": "316-440-7716"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13051 S US Highway 71",
            "address_purpose": "LOCATION",
            "city": "Grandview",
            "state": "MO",
            "postal_code": "640302525",
            "country_code": "US",
            "telephone_number": "816-966-9450",
            "fax_number": "816-966-9009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REICHENBERGER",
        "first_name": "JARED",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-08",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2009013396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rehabcare
• Rehabilitation Specialists of Wichita PA
• Saadiya Rehman
• Logan Reich, LCMFT
• Tristina Reich
• Jesi Lyn Reichenberger, PA-C
• Rachel Reichenberger, LMSW
• Ronald J Reichenberger, M.D.
• Ashton W Reichmann, DPT
• Melissa Reichmann

• Dentist in Wichita, KS
• Providers in Wichita, KS by specialty
• Dentist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.