Christopher Hawley Reilly, DDS MD

Primary specialty

DentistTaxonomy code 122300000X

License

430421 Issued in NY

Practice address

10 Airline Drive
Suite 204
Albany, NY 12205

Phone

(518) 456-6104

Fax

(518) 456-5041

NPI assigned

Aug 30, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Capital Region Dentistry and Oral Surgery, PLLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Albany, NY
  • NPI 1487349361
  NPD (past)
• Dr Stephen E Carney Dr Christopher H Reilly Dr Bret D Gelder

  • Oral and Maxillofacial Surgery (Dentist)
  • Albany, NY
  • NPI 1770741514
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164532628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 AIRLINE DRIVE",
            "address_2": "SUITE 204",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "12205",
            "telephone_number": "518-456-6104",
            "fax_number": "518-456-5041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 AIRLINE DRIVE",
            "address_2": "SUITE 204",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "12205",
            "telephone_number": "518-456-6104",
            "fax_number": "518-456-5041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REILLY",
        "first_name": "CHRISTOPHER",
        "middle_name": "HAWLEY",
        "name_prefix": "Dr.",
        "credential": "DDS MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "430421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anup Adithya Regunathan, MD
• Abrahim Waleed Rehman, DO
• Lara Reichert, M.D.
• Terrance Reid
• Urshelle Reid
• Kerry K Reilly, PA
• Leah Catherine Reilly, LMSW
• Zachary Paul Reilly, MD
• Jennifer Reiner
• Zachary Reiner

• Dentist in Albany, NY
• Providers in Albany, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.