Kelly Reinhardt, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

2901023225 Issued in MI

Practice address

847 Parchment Dr SE Ste 110
Grand Rapids, MI 49546-2377

Phone

(616) 957-1190

NPI assigned

May 30, 2019

Last updated

May 30, 2019By the provider in NPPES

Sex

Female

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

Enrolled in MI

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Parchment Family Dentistry, LLC

  dba Northway Family Dentistry

  • General Practice Dentistry
  • Grand Rapids, MI
  • NPI 1720537764
  NPD (past)

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

{
    "created_epoch": "1559174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559174400000",
    "number": "1598323016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17232 TIMBER DUNES DR",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494178834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "847 PARCHMENT DR SE STE 110",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495462377",
            "telephone_number": "616-957-1190"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2279 N Park Dr",
            "address_purpose": "LOCATION",
            "city": "Holland",
            "state": "MI",
            "postal_code": "494248547",
            "country_code": "US",
            "telephone_number": "616-392-1500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REINHARDT",
        "first_name": "KELLY",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-30",
        "last_updated": "2019-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901023225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachael Lynn Reimink, OTRL
• Jillaina Rein
• Michol Adreana Rein, LLMSW
• Reineke Consulting, LLC
• Lori Reineke, PH.D.
• Jeffrey A Reining, DR.
• Bradley John Reinoehl, D.O.
• Douglas Gerald Reinsch
• Ella Jean Reinsma
• Sherri Lynn Reinsma, LMSW

• Dentist in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.