Active NPI
Melvin L Reichenbaugh, DMD
- Dentist
- Sarver, PA
National Provider Identifier
1740551993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS-225482-L
- Practice address
- 552 N Pike Rd
Sarver, PA 16055-1104 - Phone
- (724) 352-4470
- Fax
- (724) 352-4479
- NPI assigned
- Jan 19, 2012
- Last updated
- Jan 19, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS-225482-L | PA | Primary |
Addresses
Primary practice location
552 N Pike Rd
Sarver, PA 16055-1104
Mailing address
552 N Pike Rd
Sarver, PA 16055-1104
Phone (724) 352-4470
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
| License | State | Type | Specialty |
|---|---|---|---|
| DS-225482-L | PA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326931200000",
"number": "1740551993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "552 N PIKE RD",
"city": "SARVER",
"state": "PA",
"postal_code": "160551104",
"telephone_number": "724-352-4470",
"fax_number": "724-352-4479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "552 N PIKE RD",
"city": "SARVER",
"state": "PA",
"postal_code": "160551104",
"telephone_number": "724-352-4470",
"fax_number": "724-352-4479"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REICHENBAUGH",
"first_name": "MELVIN",
"middle_name": "L",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-01-19",
"last_updated": "2012-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS-225482-L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sarver, PA
- Bradley Pavlina, PT
- Karen R Petroski, MA,LMFT
- Physician Landing Zone, P.C. (Colonial Clinic)
- Kathryn Ann Pohland, LMFT
- Quality Life Services - Sarver, LLC (Quality Life Services - Sarver)
- Philip Richter, D.C.
- Joel James Salego, DC
- Sarver Eye Clinic PC
- Sarver Family Practice, PC
- Susan F Schwartz, M. D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.