Beth Reilly, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

39207 Issued in NY

Practice address

195 Roosevelt St
Tonawanda, NY 14150-3502

Phone

(716) 693-4271

NPI assigned

Oct 24, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720161458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 ROOSEVELT ST",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "141503502",
            "telephone_number": "716-693-4271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 ROOSEVELT ST",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "141503502",
            "telephone_number": "716-693-4271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REILLY",
        "first_name": "BETH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "39207",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01240931",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph Michael Rasnick, ANP
• Jennifer Elizabeth Redanz, CCC-SLP
• Reed C. Stewart Licensed Clinical Social Worker PC
• Faith Emily Reed, LMSW
• Rebecca Reed, R.N.
• Stephanie Reinhardt, ED. M.A.
• Linda Reszetucha
• Arlene Ferrentino Reusch, BS
• Bader Peters Reynolds, R.N.
• Richard S Castaldo MD, PC

• General Practice Dentistry in Tonawanda, NY
• Providers in Tonawanda, NY by specialty
• General Practice Dentistry in New York

• 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.

Verify at the official NPI Registry.