Organization Active NPI

K9 Dental Inc

Doing business as Sand Dollar Dental

  • Dentist
  • Foley, AL
National Provider Identifier
1093185902
Registry record updated Oct 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6164 Issued in AL
Legal business name
K9 DENTAL INC
Doing business as
Sand Dollar Dental
Practice address
1121 S McKenzie St
Foley, AL 36535-1816
Phone
(251) 970-2333
NPI assigned
Oct 5, 2015
Last updated
Oct 5, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2015

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

Authorized official

Name
Dr. Holly Reineck, DDS
Title
Owner
Phone
(251) 970-2333

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 6165 AL
Dentist 122300000X 6164 AL Primary

Addresses

Primary practice location

1121 S McKenzie St
Foley, AL 36535-1816

Mailing address

1121 S McKenzie St
Foley, AL 36535-1816

Other names 1

  • Sand Dollar Dental Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1444003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444003200000",
    "number": "1093185902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 S MCKENZIE ST",
            "city": "FOLEY",
            "state": "AL",
            "postal_code": "365351816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 S MCKENZIE ST",
            "city": "FOLEY",
            "state": "AL",
            "postal_code": "365351816",
            "telephone_number": "251-970-2333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K9 DENTAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-05",
        "last_updated": "2015-10-05",
        "status": "A",
        "authorized_official_last_name": "REINECK",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "251-970-2333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AL",
            "license": "6165",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AL",
            "license": "6164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sand Dollar Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Foley, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2015; 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.