Organization Active NPI

Reinecker Dental, LLC

Doing business as Revere Dental Associates

  • Dental Clinic/Center
  • Reading, PA
National Provider Identifier
1659154193
Registry record updated Aug 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
REINECKER DENTAL, LLC
Doing business as
Revere Dental Associates
Practice address
206 Revere Blvd
Reading, PA 19609-2463
Phone
(610) 777-1001
Fax
(610) 777-4914
NPI assigned
Aug 17, 2023
Last updated
Aug 17, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2023

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

Authorized official

Name
Christian M Reinecker, DMDNPI 1730469933
Title
Owner
Phone
(610) 777-1001

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

206 Revere Blvd
Reading, PA 19609-2463

Mailing address

206 Revere Blvd
Reading, PA 19609-2463
Phone (610) 777-1001

Other names 1

  • Revere Dental Associates Doing business as

National Provider Directory

National Provider Directory

Locations

206 Revere Blvd
Reading, PA 19609
Phone (610) 777-1001

Practitioners & affiliated clinicians

Practitioners 1

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": "1692230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692230400000",
    "number": "1659154193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 REVERE BLVD",
            "city": "READING",
            "state": "PA",
            "postal_code": "196092463",
            "telephone_number": "610-777-1001",
            "fax_number": "610-777-4914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 REVERE BLVD",
            "city": "READING",
            "state": "PA",
            "postal_code": "196092463",
            "telephone_number": "610-777-1001",
            "fax_number": "610-777-4914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REINECKER DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-17",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A",
        "authorized_official_last_name": "REINECKER",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-777-1001",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Revere Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Reading, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; 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.