Individual provider Active NPI

Joseph Pearl Reichley, D.D.S.

  • Dentist
  • Beavercreek, OH
National Provider Identifier
1326267543
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
14462 Issued in OH
Practice address
1450 Hanes Rd
Beavercreek, OH 45434-6579
Phone
(937) 426-5560
NPI assigned
Apr 25, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 14462 OH Primary

Addresses

Primary practice location

1450 Hanes Rd
Beavercreek, OH 45434-6579

Mailing address

3852 Greenbriar Dr
Fairborn, OH 45324-9719
Phone (937) 767-1617

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20160628001369 OH Order and Referring Only - DentistPractitioner - Dentist 6800187584

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14462OHMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Joseph P. Reichley DDS Inc Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326267543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3852 GREENBRIAR DR",
            "city": "FAIRBORN",
            "state": "OH",
            "postal_code": "453249719",
            "telephone_number": "937-767-1617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 HANES RD",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454346579",
            "telephone_number": "937-426-5560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REICHLEY",
        "first_name": "JOSEPH",
        "middle_name": "PEARL",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "14462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beavercreek, OH

Sources for this page

Verify at the official NPI Registry.