Individual provider Active NPI

Corinne D Reschenthaler, D.M.D.

  • Dentist
  • Silverdale, WA
National Provider Identifier
1720334840
Registry record updated Jul 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
60578324 Issued in WA
Practice address
3637 NW Byron St
Silverdale, WA 98383-9127
Phone
(708) 899-6620
NPI assigned
Jul 26, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 019029136 IL
Dentist 122300000X 60578324 WA Primary

Addresses

Primary practice location

3637 NW Byron St
Silverdale, WA 98383-9127

Mailing address

3637 NW Byron St
Silverdale, WA 98383-9127
Phone (708) 899-6620

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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

Enrollment IDStateProvider typePAC IDDetails
I20160721000827 WA Order and Referring Only - DentistPractitioner - Dentist 3971896499

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
60578324WAMDDentist
019029136ILMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1343260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469491200000",
    "number": "1720334840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3637 NW BYRON ST",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983839127",
            "telephone_number": "708-899-6620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3637 NW BYRON ST",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983839127",
            "telephone_number": "708-899-6620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RESCHENTHALER",
        "first_name": "CORINNE",
        "middle_name": "D",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-26",
        "last_updated": "2016-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019029136",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "60578324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silverdale, WA

Sources for this page

Verify at the official NPI Registry.