Eric John Reitz, D.M.D.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DS019047L Issued in PA

Practice address

2414 Lytle Rd
Bethel Park, PA 15102-2736

Phone

(412) 831-2188

Fax

(412) 831-6360

NPI assigned

May 3, 2011

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

Other identifiers 1

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 Dec 30, 2015 through Dec 30, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Troy Orthodontics, PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Bethel Park, PA
  • NPI 1104995752
  NPD (past)

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

{
    "created_epoch": "1304380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304380800000",
    "number": "1598057069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2414 LYTLE RD",
            "city": "BETHEL PARK",
            "state": "PA",
            "postal_code": "151022736",
            "telephone_number": "412-831-2188",
            "fax_number": "412-831-6360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2414 LYTLE RD",
            "city": "BETHEL PARK",
            "state": "PA",
            "postal_code": "151022736",
            "telephone_number": "412-831-2188",
            "fax_number": "412-831-6360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REITZ",
        "first_name": "ERIC",
        "middle_name": "JOHN",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-03",
        "last_updated": "2011-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "PA",
            "license": "DS019047L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000734348-0001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine Rause, CRNP
• Jessica Rave, PA-C
• Caroline Redd
• Kayla Michele Redmond, CRNP
• Kelli Ann Rehkop, PTA
• Erin Resetar, PHARMD
• Richard a. Dukovich, D.M.D.
• Christopher Michael Ritchie, COTA/L
• Rite Aid of Pennsylvania LLC
• Rite Aid of Pennsylvania LLC

• Orthodontics and Dentofacial Orthopedics Dentistry in Bethel Park, PA
• Providers in Bethel Park, PA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2011; 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.