Organization Active NPI

Reich Dental Center Tucker PC

  • Dental Clinic/Center
  • Atlanta, GA
National Provider Identifier
1598488918
Registry record updated Sep 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
REICH DENTAL CENTER TUCKER PC
Practice address
2295 Parklake Dr NE Ste 200
Atlanta, GA 30345-2812
Phone
(678) 534-1010
NPI assigned
Sep 21, 2022
Last updated
Sep 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2022

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

Authorized official

Name
Robin Sue Reich, DMDNPI 1366837783
Title
Dentist/ Owner
Phone
(678) 534-1010

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

2295 Parklake Dr NE Ste 200
Atlanta, GA 30345-2812

Mailing address

2295 Parklake Dr NE Ste 200
Atlanta, GA 30345-2812
Phone (678) 534-1010

Other identifiers 1

IdentifierTypeStateIssuer
1366837783OtherGATYPE 1 NPI

National Provider Directory

National Provider Directory

Locations

2295 Parklake Dr NE
Ste 200
Atlanta, GA 30345
Phone (678) 534-1010

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1663718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663718400000",
    "number": "1598488918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2295 PARKLAKE DR NE STE 200",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303452812",
            "telephone_number": "678-534-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2295 PARKLAKE DR NE STE 200",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303452812",
            "telephone_number": "678-534-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REICH DENTAL CENTER TUCKER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-21",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A",
        "authorized_official_last_name": "REICH",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "DENTIST/ OWNER",
        "authorized_official_telephone_number": "678-534-1010",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 1 NPI",
            "identifier": "1366837783",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; 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.