Brian L Reigart, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DSO21682L Issued in PA

Practice address

26 Roth Church Rd
Spring Grove Professional Center
Spring Grove, PA 17362-1406

Phone

(717) 225-5741

NPI assigned

Aug 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jul 7, 2006 through Jul 7, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Reigart-Kistler DDS, Inc.

  • General Practice Dentistry
  • Spring Grove, PA
  • NPI 1902919434
  NPD (past) Authorized official
• Edp of Pennsylvania PC

  • Dental Clinic/Center
  • Johnstown, PA
  • NPI 1366958407
  NPD (past)

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376656900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 ROTH CHURCH RD",
            "address_2": "SPRING GROVE PROFESSIONAL CENTER",
            "city": "SPRING GROVE",
            "state": "PA",
            "postal_code": "173621406",
            "telephone_number": "717-225-5741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 ROTH CHURCH RD",
            "address_2": "SPRING GROVE PROFESSIONAL CENTER",
            "city": "SPRING GROVE",
            "state": "PA",
            "postal_code": "173621406",
            "telephone_number": "717-225-5741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REIGART",
        "first_name": "BRIAN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DSO21682L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pinnacle Health Medical Services
• Nancy I Polashuk, PA-C
• Michele Prince, MSW
• Tracy Prince, D.O.
• Reigart-Kistler DDS, Inc.
• Rite Aid of Pennsylvania LLC
• Cristian Rafael Rosado, HHA
• Jo Ann Scheu, R.N.
• Deona L Schmittel, SLP
• Barbara Shute, MD

• General Practice Dentistry in Spring Grove, PA
• Providers in Spring Grove, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.