Organization Active NPI

Reckling DDS, Prof LLC

  • General Practice Dentistry
  • Sioux Falls, SD
National Provider Identifier
1508628751
Registry record updated Mar 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
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

Updated by the provider on Mar 6, 2024

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

Authorized official

Name
Mr. Ryon Robert Reckling, DDSNPI 1841362266
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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1073860128OtherSDINDIVIDUAL NPI
1407235229OtherSDINDIVIDUAL NPI
1437756905OtherSDCORPORATION
1841362266OtherSDINDIVIDUAL NPI

Other names 1

  • East Ridge Dental Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.