Brian Reardon, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

019-019630 Issued in IL

Practice address

530 S Cherry St
Elmhurst, IL 60126-3900

Phone

(630) 832-8045

NPI assigned

Feb 27, 2012

Last updated

Feb 27, 2012By the provider in NPPES

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 IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Brian Reardon DDS PC

  • Dentist
  • Elmhurst, IL
  • NPI 1346319126
  NPD (past) Authorized official
• Reardon Family Dental

  • Dentist
  • Elmhurst, IL
  • NPI 1275408940
  NPD (past)

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

{
    "created_epoch": "1330300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330300800000",
    "number": "1215201025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 S CHERRY ST",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601263900",
            "telephone_number": "630-832-8045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 S CHERRY ST",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601263900",
            "telephone_number": "630-832-8045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REARDON",
        "first_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-02-27",
        "last_updated": "2012-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019-019630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leena Raza, MD
• Rci (WRS), LLC (NovaCare Rehabilitation)
• Rci (WRS), LLC. (RUSH Physical Therapy)
• Rci (WRS), LLC. (RUSH Physical Therapy)
• Reardon Family Dental
• Kevin G Reardon, DDS
• Patrick William Reardon, DDS
• Darrin Michael Redinger, D.C.
• Johanna Reedy
• Christina Rees

• Dentist in Elmhurst, IL
• Providers in Elmhurst, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2012; 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.