Individual provider Active NPI

John Reinhardt, D.D.S

  • General Practice Dentistry
  • Lincoln, NE
National Provider Identifier
1295818938
Registry record updated Jan 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6251 Issued in NE
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

Updated by the provider on Jan 25, 2008

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 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

IdentifierTypeStateIssuer
7906OtherNEBC/BS
47078998500MedicaidNE

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160517001557 NE Order and Referring Only - DentistPractitioner - 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

Verify at the official NPI Registry.