Individual provider Active NPI

Shereen Riedlinger, DDS

  • General Practice Dentistry
  • Cincinnati, OH
National Provider Identifier
1093370553
Registry record updated Jan 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30.025737 Issued in OH
Practice address
3263 Vandercar Way
Cincinnati, OH 45209-7545
Phone
(513) 978-5868
NPI assigned
May 9, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 1, 2023

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 30.025737 OH Primary

Addresses

Primary practice location

3263 Vandercar Way
Cincinnati, OH 45209-7545

Mailing address

2810 Rosella Ave
Cincinnati, OH 45208-1414
Phone (937) 903-3499

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190905002749 OH Order and Referring Only - DentistPractitioner - Dentist 1658600382

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30.025737OHMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Nguyen Oakley Dental Group PC. Inc General Practice CurrentSince Jan 8, 2023 Accepting new patients
Kireru Dental Associates Inc General Practice PastSince Nov 1, 2021 Accepting new patients
Dental Services of Ohio Dentist Past Accepting new patients

Locations

3263 Vandercar Way
Cincinnati, OH 45209
Phone (513) 978-5868

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1557360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672531200000",
    "number": "1093370553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2810 ROSELLA AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452081414",
            "telephone_number": "937-903-3499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3263 VANDERCAR WAY",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452097545",
            "telephone_number": "513-978-5868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIEDLINGER",
        "first_name": "SHEREEN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-09",
        "last_updated": "2023-01-01",
        "certification_date": "2023-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.025737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.