Individual provider Active NPI

John Reimondo

  • Dentist
  • Crawfordsville, IN
National Provider Identifier
1689465247
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
12014999A Issued in IN
Practice address
114 Walter Remley Dr
Crawfordsville, IN 47933-3350
Phone
(765) 267-8484
NPI assigned
May 14, 2025
Last updated
May 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 12014999A IN Primary

Addresses

Primary practice location

114 Walter Remley Dr
Crawfordsville, IN 47933-3350

Mailing address

8155 Glenwillow LN Unit 207
Indianapolis, IN 46278-2250
Phone (765) 376-2971

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
12014999AINMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
BJS DDS, LLC PastSince Oct 29, 2023 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1747180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780012800000",
    "number": "1689465247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8155 GLENWILLOW LN UNIT 207",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462782250",
            "telephone_number": "765-376-2971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 WALTER REMLEY DR",
            "city": "CRAWFORDSVILLE",
            "state": "IN",
            "postal_code": "479333350",
            "telephone_number": "765-267-8484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REIMONDO",
        "first_name": "JOHN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-05-14",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12014999A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crawfordsville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2026; 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.