Individual provider Active NPI

Reli Naco, DMD

  • General Practice Dentistry
  • Hershey, PA
National Provider Identifier
1043827736
Registry record updated Sep 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS042817 Issued in PA
Practice address
1135 E Chocolate Ave
Hershey, PA 17033-1201
Phone
(717) 534-1135
NPI assigned
Sep 26, 2020
Last updated
Sep 26, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2020

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 DS042817 PA Primary

Addresses

Primary practice location

1135 E Chocolate Ave
Hershey, PA 17033-1201

Mailing address

124 Robin LN Apt K2
Hummelstown, PA 17036-8231

Other practice location 1

1144 E Main St
Hegins, PA 17938-9091
Phone (570) 682-8143

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

LicenseStateTypeSpecialty
DS042817PAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Jack Aughenbaugh DDS, PC Past Accepting new patients
Indiju Dental PC PastSince Oct 4, 2020 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1601078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601078400000",
    "number": "1043827736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 ROBIN LN APT K2",
            "city": "HUMMELSTOWN",
            "state": "PA",
            "postal_code": "170368231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 E CHOCOLATE AVE",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170331201",
            "telephone_number": "717-534-1135"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1144 E Main St",
            "address_purpose": "LOCATION",
            "city": "Hegins",
            "state": "PA",
            "postal_code": "179389091",
            "country_code": "US",
            "telephone_number": "570-682-8143",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NACO",
        "first_name": "RELI",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-26",
        "last_updated": "2020-09-26",
        "certification_date": "2020-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS042817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hershey, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2020; 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.