Organization Active NPI

Reardon Dental

  • Dentist
  • Phoenixville, PA
National Provider Identifier
1669930913
Registry record updated Mar 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
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

Updated by the provider on Mar 6, 2019

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)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Dental2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.