Craig Allen Rechkemmer, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

2002012097 Issued in MO

Practice address

4728 S Campbell Ave
Suite 120
Springfield, MO 65810-1724

Phone

(417) 300-9424

NPI assigned

Jan 27, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1169856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350432000000",
    "number": "1053467399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3409 N FENWICKE ST",
            "city": "OZARK",
            "state": "MO",
            "postal_code": "657217997",
            "telephone_number": "417-234-2462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4728 S CAMPBELL AVE",
            "address_2": "SUITE 120",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658101724",
            "telephone_number": "417-300-9424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RECHKEMMER",
        "first_name": "CRAIG",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-27",
        "last_updated": "2012-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "AR",
            "license": "3693",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2002012097",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "405744707",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISSOURI DENTAL BOARD",
            "identifier": "2002012097",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARKANSAS DENTAL BOARD",
            "identifier": "3693",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Claire Elizabeth Reagen, DO
• Vicki W Reaves, LCSW
• Eric Wayne Reavis, D.C.
• Jill R. Reavis, L. AC.
• Tania Evon Reavis, D.C.
• Recovery Chapel
• Recovery Chapel
• Recovery Outreach Services LLC
• David L Redfern Jr., M.D.
• Nicole M Redus, RN

• Dentist in Springfield, MO
• Providers in Springfield, MO by specialty
• Dentist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2012; 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.