Active NPI
Reckling DDS, Prof LLC
- General Practice Dentistry
- Sioux Falls, SD
National Provider Identifier
1508628751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- RECKLING DDS, PROF LLC
- Practice address
- 518 N Sycamore Ave
Sioux Falls, SD 57110-5737 - Phone
- (605) 373-0245
- Fax
- (605) 336-3261
- NPI assigned
- Jan 24, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Ryon Robert Reckling, DDS
- Title
- Owner, Dentist
- Phone
- (605) 373-0245
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary | ||
| Customized Equipment (DME) | 332BC3200X |
Addresses
Primary practice location
518 N Sycamore Ave
Sioux Falls, SD 57110-5737
Mailing address
518 N Sycamore Ave
Sioux Falls, SD 57110-5737
Phone (605) 373-0245
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073860128 | Other | SD | INDIVIDUAL NPI |
| 1407235229 | Other | SD | INDIVIDUAL NPI |
| 1437756905 | Other | SD | CORPORATION |
| 1841362266 | Other | SD | INDIVIDUAL NPI |
Other names 1
- East Ridge Dental
National Provider Directory
National Provider DirectoryLocations
518 N Sycamore Ave
Sioux Falls, SD 57110
Phone (605) 373-0245
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Sioux Falls, SD
- NPI 1841362266
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706054400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1709683200000",
"number": "1508628751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "518 N SYCAMORE AVE",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571105737",
"telephone_number": "605-373-0245",
"fax_number": "605-336-3261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "518 N SYCAMORE AVE",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571105737",
"telephone_number": "605-373-0245",
"fax_number": "605-336-3261"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RECKLING DDS, PROF LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-01-24",
"last_updated": "2024-03-06",
"certification_date": "2024-03-06",
"status": "A",
"authorized_official_last_name": "RECKLING",
"authorized_official_first_name": "RYON",
"authorized_official_middle_name": "ROBERT",
"authorized_official_title_or_position": "OWNER, DENTIST",
"authorized_official_telephone_number": "605-373-0245",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI",
"identifier": "1073860128",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI",
"identifier": "1407235229",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CORPORATION",
"identifier": "1437756905",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI",
"identifier": "1841362266",
"state": "SD"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "East Ridge Dental",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "East Ridge Dental",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Sioux Falls, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.