Robert W Renger, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2002011660 Issued in MO

Practice address

510 W 32ND St
Joplin, MO 64804-2531

Phone

(417) 781-6700

Fax

(417) 781-6703

NPI assigned

Feb 22, 2006

Sex

Male

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 MO

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

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357776000000",
    "number": "1760457667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 W 32ND ST",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648042531",
            "telephone_number": "417-781-6700",
            "fax_number": "417-781-6703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 W 32ND ST",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648042531",
            "telephone_number": "417-781-6700",
            "fax_number": "417-781-6703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENGER",
        "first_name": "ROBERT",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2013-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2002011660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "46-0860664",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kyra L Reichardt, NP
• Sabrina Kalani Reineke, APRN
• Renewed Mental Health LLC
• Renewing Mental Health, LLC
• Caroline Elizabeth Renger, LPC
• Brock Michael Renken
• Miranda L Renteria, PLPC
• Eldon R Repsher, O.D.
• Resolutions Consulting Group, LLC
• Kyle Rettig

• General Practice Dentistry in Joplin, MO
• Providers in Joplin, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2013; 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.