NPIMap

Individual provider Active NPI

Eric M. Reigle, DDS

  • Dentist
  • Mount Horeb, WI
National Provider Identifier
1508253816
Registry record updated Apr 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
1001095-15 Issued in WI
Practice address
115 N Brookwood Dr
Mount Horeb, WI 53572-3432
Phone
(608) 437-5519
NPI assigned
Apr 24, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 1001095-15 WI Primary

Addresses

Primary practice location

115 N Brookwood Dr
Mount Horeb, WI 53572-3432

Mailing address

PO Box 285
Mount Horeb, WI 53572-0285

Other identifiers 1

IdentifierTypeStateIssuer
1508253816MedicaidWI

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
1001095-15WIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Dennis Adler DDS SC Dentist Past Accepting new patients
Mt Horeb Dental Past Accepting new patients

Organizations & group practices 2

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": "1429833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649635200000",
    "number": "1508253816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 285",
            "city": "MOUNT HOREB",
            "state": "WI",
            "postal_code": "535720285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 N BROOKWOOD DR",
            "city": "MOUNT HOREB",
            "state": "WI",
            "postal_code": "535723432",
            "telephone_number": "608-437-5519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REIGLE",
        "first_name": "ERIC",
        "middle_name": "M.",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-24",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "1001095-15",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1508253816",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Horeb, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2022; 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.