Mary Reeder, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

020018564 Issued in IL

Practice address

1340 Cedar CT
Carbondale, IL 62901-5336

Phone

(618) 457-7821

Fax

(618) 529-3862

NPI assigned

Jul 11, 2025

Last updated

Jul 11, 2025By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: mary.reeder.p1@direct.chesi.nextgenshare.com

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

{
    "created_epoch": "1752192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752192000000",
    "number": "1639060304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 CEDAR CT",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629015334",
            "telephone_number": "618-457-0450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 CEDAR CT",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629015336",
            "telephone_number": "618-457-7821",
            "fax_number": "618-529-3862"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13245 Kessler Rd",
            "address_purpose": "LOCATION",
            "city": "Cairo",
            "state": "IL",
            "postal_code": "629143101",
            "country_code": "US",
            "telephone_number": "618-734-4400",
            "fax_number": "618-477-8557",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "205 N Main St",
            "address_purpose": "LOCATION",
            "city": "Harrisburg",
            "state": "IL",
            "postal_code": "629461256",
            "country_code": "US",
            "telephone_number": "618-253-8450",
            "fax_number": "618-619-4016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REEDER",
        "first_name": "MARY",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-11",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "IL",
            "license": "020018564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Jay Reach, M.D.
• Recoveruscenters-Carbondale LLC
• Bindu Reddy, M.D.
• Hitesh Ramesh Reddy, MBBS
• Ryan James Reed, PHD
• Rehab Innovations LLC
• Jessica Nicole Reichert, CNM
• Jennifer Reliford
• Rebecca Elizabeth Renfroe, NP
• Revive Skin Institute LLC (Dermatology)

• Dental Hygienist in Carbondale, IL
• Providers in Carbondale, IL by specialty
• Dental Hygienist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2025; 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.