Active NPI
Randall D Reinhardt, DDS
- General Practice Dentistry
- Great Bend, KS
National Provider Identifier
1083794044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 5929
- Practice address
- 1821 Kansas Ave
Great Bend, KS 67530-2501 - Phone
- (620) 603-6838
- Fax
- (620) 792-5742
- NPI assigned
- Oct 16, 2006
- Last updated
- May 8, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 5929 | KS | Primary |
Addresses
Primary practice location
1821 Kansas Ave
Great Bend, KS 67530-2501
Mailing address
1905 19TH St
Great Bend, KS 67530-2502
Phone (620) 792-5700
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heart of Kansas Family Health Care, Inc. | Past | Accepting new patients | |
| Heart of Kansas Family Health Care, Inc. | Past | 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.
-
- Federally Qualified Health Center (FQHC)
- Great Bend, KS
- NPI 1184739443
-
- Federally Qualified Health Center (FQHC)
- Great Bend, KS
- NPI 1689169187
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557273600000",
"number": "1083794044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1905 19TH ST",
"city": "GREAT BEND",
"state": "KS",
"postal_code": "675302502",
"telephone_number": "620-792-5700",
"fax_number": "620-792-5742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1821 KANSAS AVE",
"city": "GREAT BEND",
"state": "KS",
"postal_code": "675302501",
"telephone_number": "620-603-6838",
"fax_number": "620-792-5742"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REINHARDT",
"first_name": "RANDALL",
"middle_name": "D",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-16",
"last_updated": "2019-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "KS",
"license": "5929",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Great Bend, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.