Active NPI
Douglas Richard Reich, D.M.D.
- Pediatric Dentistry
- Philadelphia, PA
National Provider Identifier
1669402517
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DS020700L
- Practice address
- 7122 Rising Sun Ave
Philadelphia, PA 19111-3957 - Phone
- (215) 725-8300
- Fax
- (215) 725-8770
- NPI assigned
- Jul 4, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | DS020700L | PA | Primary |
Addresses
Primary practice location
7122 Rising Sun Ave
Philadelphia, PA 19111-3957
Mailing address
6 Cropwell LN
Holland, PA 18966-2583
Phone (215) 579-4751
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160210001579 | PA | Order and Referring Only - Dentist | 0042514135 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1669402517",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 CROPWELL LN",
"city": "HOLLAND",
"state": "PA",
"postal_code": "189662583",
"telephone_number": "215-579-4751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7122 RISING SUN AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191113957",
"telephone_number": "215-725-8300",
"fax_number": "215-725-8770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REICH",
"first_name": "DOUGLAS",
"middle_name": "RICHARD",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "PA",
"license": "DS020700L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.