Katie Reardon DDS, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D0950 Issued in SD

Legal business name

KATIE REARDON DDS, PC

Doing business as

General Dentistry

Practice address

3508 S Minnesota Ave Ste 108
Sioux Falls, SD 57105-6455

Phone

(605) 339-1381

NPI assigned

Dec 18, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Katie Reardon, D.D.S.

Title

Dentist - Owner

Phone

(605) 339-1381

Specialties & licenses 1

Addresses

Other names 1

• General Dentistry Doing business as

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

{
    "created_epoch": "1387324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387324800000",
    "number": "1255752291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3508 S MINNESOTA AVE STE 108",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571056455",
            "telephone_number": "605-339-1381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3508 S MINNESOTA AVE STE 108",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571056455",
            "telephone_number": "605-339-1381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATIE REARDON DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-18",
        "last_updated": "2013-12-18",
        "status": "A",
        "authorized_official_last_name": "REARDON",
        "authorized_official_first_name": "KATIE",
        "authorized_official_title_or_position": "DENTIST - OWNER",
        "authorized_official_telephone_number": "605-339-1381",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "SD",
            "license": "D0950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "General Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• General Practice Dentistry in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2013; 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.