Individual provider Active NPI

Paige Rechtin, DMD, MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • West Chester, OH
National Provider Identifier
1326569377
Registry record updated Jun 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
30.025878 Issued in OH
Practice address
4845 Rialto Rd Ste a
West Chester, OH 45069-2910
Phone
(513) 772-6500
Fax
(513) 772-2002
NPI assigned
Jun 29, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 10327 KY
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 30.025878 OH Primary

Addresses

Primary practice location

4845 Rialto Rd Ste a
West Chester, OH 45069-2910

Mailing address

410 N 2ND St Apt 216
Minneapolis, MN 55401-5345
Phone (419) 509-8760

Other practice location 1

7559A Mall Rd
Florence, KY 41042-1401
Phone (513) 772-6500

Other practice location 2

515 Delaware St SE
Minneapolis, MN 55455-0357
Phone (612) 625-6444

Other identifiers 1

IdentifierTypeStateIssuer
1003575586MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
10327KYMDOrthodontics and Dentofacial Orthopedic Dentist
30.025878OHMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Ison Noll Orthodontics LLC Orthodontics and Dentofacial Orthopedics 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1498694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591660800000",
    "number": "1326569377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 N 2ND ST APT 216",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554015345",
            "telephone_number": "419-509-8760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4845 RIALTO RD STE A",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450692910",
            "telephone_number": "513-772-6500",
            "fax_number": "513-772-2002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7559A Mall Rd",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "KY",
            "postal_code": "410421401",
            "country_code": "US",
            "telephone_number": "513-772-6500",
            "fax_number": "513-772-2002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "515 Delaware St SE",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554550357",
            "country_code": "US",
            "telephone_number": "612-625-6444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RECHTIN",
        "first_name": "PAIGE",
        "credential": "DMD, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-29",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "KY",
            "license": "10327",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "OH",
            "license": "30.025878",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1003575586",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2020; 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.