Active NPI
Randal Cory Reinecker, DDS
- Dentist
- Reading, PA
National Provider Identifier
1780722298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS021997L
- Practice address
- 5 Hearthstone Court
Suite 102
Reading, PA 19606 - Phone
- (610) 370-2338
- Fax
- (610) 370-3026
- NPI assigned
- Feb 5, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
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 | DS021997L | PA | Primary |
Addresses
Primary practice location
5 Hearthstone Court
Suite 102
Reading, PA 19606
Mailing address
212 Lowell Drive
Reading, PA 19606
Phone (610) 689-0224
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Oct 2, 2017 through Oct 2, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS021997L | PA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1780722298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "212 LOWELL DRIVE",
"city": "READING",
"state": "PA",
"postal_code": "19606",
"telephone_number": "610-689-0224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 HEARTHSTONE COURT",
"address_2": "SUITE 102",
"city": "READING",
"state": "PA",
"postal_code": "19606",
"telephone_number": "610-370-2338",
"fax_number": "610-370-3026"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REINECKER",
"first_name": "RANDAL",
"middle_name": "CORY",
"name_prefix": "Mr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS021997L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Reading, PA
Sources for this page
- 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.