Active NPI
John Reinhardt, D.D.S
- General Practice Dentistry
- Lincoln, NE
National Provider Identifier
1295818938
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 6251
- Practice address
- 40TH and Holdrege Streets
Lincoln, NE 68583-0740 - Phone
- (402) 472-1344
- Fax
- (402) 472-6681
- NPI assigned
- Oct 24, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 6251 | NE | Primary |
Addresses
Primary practice location
40TH and Holdrege Streets
Lincoln, NE 68583-0740
Mailing address
Box 830740
40TH and Holdrege Streets
Lincoln, NE 68583-0740
Phone (402) 472-1344
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7906 | Other | NE | BC/BS |
| 47078998500 | Medicaid | NE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160517001557 | NE | Order and Referring Only - Dentist | 1456640382 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201219200000",
"number": "1295818938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "BOX 830740",
"address_2": "40TH AND HOLDREGE STREETS",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685830740",
"telephone_number": "402-472-1344",
"fax_number": "402-472-6681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40TH AND HOLDREGE STREETS",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685830740",
"telephone_number": "402-472-1344",
"fax_number": "402-472-6681"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REINHARDT",
"first_name": "JOHN",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-24",
"last_updated": "2008-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NE",
"license": "6251",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "7906",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47078998500",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2008; 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.