Robert G Redenz, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE61529551 Issued in WA

Practice address

10500 NE 8TH St
Bellevue, WA 98004-4345

Phone

(425) 688-1345

NPI assigned

Jul 26, 2022

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

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Dong Han PLLC

  • General Practice Dentistry
  • Bellevue, WA
  • NPI 1619789666
  NPD
• SD Dental LLC

  • General Practice Dentistry
  • Savannah, GA
  • NPI 1104447309
  NPD (past)

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

{
    "created_epoch": "1658793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1447986187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 COLUMBUS DR",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314054306",
            "telephone_number": "804-955-8299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10500 NE 8TH ST",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980044345",
            "telephone_number": "425-688-1345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDENZ",
        "first_name": "ROBERT",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-26",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE61529551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George William Recknagel Jr., PH.D.
• Red Cedar Wellness Center, PLLC
• Red Sea Primary Care
• Tenecia Redding
• Sandeep Gunna Reddy, MD
• Anna L Redgrave, MHCA
• Rediclinic of Wa, LLC
• Rediclinic of Wa, LLC
• Jackson Richard Reding
• Nathan Redington, DPT

• General Practice Dentistry in Bellevue, WA
• Providers in Bellevue, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; 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.