Active NPI
John Paul Reinholz Sr.
- Orthotist
- Molt, MT
National Provider Identifier
1417035619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthotist
- Practice address
- 100 Dannenburg Rd
Reinholz Custom Footwear
Molt, MT 59057-2244 - Phone
- (406) 669-3222
- NPI assigned
- Nov 2, 2006
- Last updated
- Jun 19, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Orthotist | 222Z00000X | MT | Primary |
Addresses
Primary practice location
100 Dannenburg Rd
Reinholz Custom Footwear
Molt, MT 59057-2244
Mailing address
100 Dannenburg Rd
Reinholz Custom Footwear
Molt, MT 59057-2244
Phone (406) 669-3222
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5601942 | Medicaid | MT |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245369600000",
"number": "1417035619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 DANNENBURG RD",
"address_2": "REINHOLZ CUSTOM FOOTWEAR",
"city": "MOLT",
"state": "MT",
"postal_code": "590572244",
"telephone_number": "406-669-3222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 DANNENBURG RD",
"address_2": "REINHOLZ CUSTOM FOOTWEAR",
"city": "MOLT",
"state": "MT",
"postal_code": "590572244",
"telephone_number": "406-669-3222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REINHOLZ",
"first_name": "JOHN",
"middle_name": "PAUL",
"name_suffix": "Sr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-02",
"last_updated": "2009-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "222Z00000X",
"taxonomy_group": "",
"desc": "Orthotist",
"state": "MT",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5601942",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Molt, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.