Mariah Reichenbach, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4151-20 Issued in MS

Practice address

60024 Olive St
Smithville, MS 38870-9719

Phone

(662) 651-7111

Fax

(662) 651-7115

NPI assigned

Aug 3, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mariah A Richards Former name

Medicare fee-for-service enrollment

Enrolled in MS

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

Medicare enrollment (NPD)

Enrolled

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.

• Access Family Health Services, Inc.

  • Community/Retail Pharmacy
  • Tremont, MS
  • NPI 1124618525
  NPD (past)
• Access Family Health Services, Inc.

  • Community Health Clinic/Center
  • Smithville, MS
  • NPI 1932219524
  NPD (past)

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

{
    "created_epoch": "1596412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596412800000",
    "number": "1447860754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 205",
            "city": "SMITHVILLE",
            "state": "MS",
            "postal_code": "388700205",
            "telephone_number": "662-651-7111",
            "fax_number": "662-651-7115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60024 OLIVE ST",
            "city": "SMITHVILLE",
            "state": "MS",
            "postal_code": "388709719",
            "telephone_number": "662-651-7111",
            "fax_number": "662-651-7115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REICHENBACH",
        "first_name": "MARIAH",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-03",
        "last_updated": "2020-08-03",
        "certification_date": "2020-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "4151-20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIAH",
            "last_name": "RICHARDS",
            "middle_name": "A",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nicholas Allen Cummings, M.D.
• Vivian Draper, D.D.S., M.P.H.
• Michelle George, PHARMD
• James Mark Monroe, D.O.
• Alisha Marie Parham, FNP-C
• Howard Lamar Robertson
• Smithville Pharmacy
• Jamesha Tumblin, NP
• Sara Vance, MS, RD, LD, CHES
• Neil R. Wanee, MD

• General Practice Dentistry in Smithville, MS
• Providers in Smithville, MS by specialty
• General Practice Dentistry in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.