Lance G Rencher, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6434 Issued in WA

Practice address

18825 Caldart Ave NE Ste B
Poulsbo, WA 98370-8714

Phone

(360) 779-4141

NPI assigned

Jul 17, 2006

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

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.

Opted out of Medicare

Yes, effective Apr 7, 2016 through Apr 7, 2028

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229904000000",
    "number": "1508884891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18825 CALDART AVENUE NE",
            "address_2": "SUITE B",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983700105",
            "telephone_number": "360-779-4141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18825 CALDART AVE NE STE B",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983708714",
            "telephone_number": "360-779-4141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENCHER",
        "first_name": "LANCE",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2008-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "6434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Raszler, M.S. AU.D
• Scott J Raszler, M.A. CCC-A
• Stephen Charles Reichley, M.D.
• Micah Reidy, MS CCC-SLP
• Ronald William Reinhart, MD
• Trent G Rencher, DMD, MSD
• Renewed Lives, PLLC
• Ellyse Renee Rengstorf
• Restoration Counseling Services
• John W. Reynolds, PHD

• General Practice Dentistry in Poulsbo, WA
• Providers in Poulsbo, 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 Dec 22, 2008; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.