Active NPI
Reardon Dental
- Dentist
- Phoenixville, PA
National Provider Identifier
1669930913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- REARDON DENTAL
- Practice address
- 1096 W Bridge St
Phoenixville, PA 19460-4905 - Phone
- (610) 935-2883
- NPI assigned
- Mar 6, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Laura Feller, DMD
- Title
- Dentist/Owner
- Phone
- (484) 985-2073
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary |
Addresses
Primary practice location
1096 W Bridge St
Phoenixville, PA 19460-4905
Mailing address
1096 W Bridge St
Phoenixville, PA 19460-4905
Phone (610) 935-2883
Other practice location 1
35 W Pennsylvania Ave
Downingtown, PA 19335-2611
Phone (610) 269-0489
National Provider Directory
National Provider Directory- Tax ID family
- Reardon Dental
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Practice Dentistry
- Downingtown, PA
- NPI 1861045627
Locations
35 W Pennsylvania Ave
Downingtown, PA 19335
Phone (610) 269-0489
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551830400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1551830400000",
"number": "1669930913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1096 W BRIDGE ST",
"city": "PHOENIXVILLE",
"state": "PA",
"postal_code": "194604905",
"telephone_number": "610-935-2883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1096 W BRIDGE ST",
"city": "PHOENIXVILLE",
"state": "PA",
"postal_code": "194604905",
"telephone_number": "610-935-2883"
}
],
"practiceLocations": [
{
"address_1": "35 W Pennsylvania Ave",
"address_purpose": "LOCATION",
"city": "Downingtown",
"state": "PA",
"postal_code": "193352611",
"country_code": "US",
"telephone_number": "610-269-0489",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "REARDON DENTAL",
"organizational_subpart": "NO",
"enumeration_date": "2019-03-06",
"last_updated": "2019-03-06",
"status": "A",
"authorized_official_last_name": "FELLER",
"authorized_official_first_name": "LAURA",
"authorized_official_title_or_position": "DENTIST/OWNER",
"authorized_official_telephone_number": "484-985-2073",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenixville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.