Gayle Reardon, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

M518 Issued in SD

Practice address

3305 South Lincoln Avenue
Sioux Falls, SD 57105-5224

Phone

(605) 336-8144

Fax

(605) 335-3568

NPI assigned

Apr 19, 2007

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 2

Medicare fee-for-service enrollment

Enrolled in SD

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Reardon Dental Health

  • General Practice Dentistry
  • Sioux Falls, SD
  • NPI 1881031128
  NPD (past)

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801013255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3305 SOUTH LINCOLN AVENUE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571055224",
            "telephone_number": "605-336-8144",
            "fax_number": "605-335-3568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3305 SOUTH LINCOLN AVENUE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571055224",
            "telephone_number": "605-336-8144",
            "fax_number": "605-335-3568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REARDON",
        "first_name": "GAYLE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SD",
            "license": "M518",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MINNESOTA LIC #",
            "identifier": "D8755",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTH DAKOTA LIC #",
            "identifier": "M518",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cheryl A Raysby-Park, ST
• Julie Raysby, MA
• Seyed Mostafa Razavi, MD
• Amanda Kristine Reamer, LPC-MH
• Reardon Dental Health
• Katherine Anne Reardon, DDS
• Sydney Rechtenbaugh, PHARMD
• Reckling DDS, Prof LLC
• Ryon Reckling, D.D.S.
• Recourse Solutions Sioux Empire LLC

• General Practice Dentistry in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• General Practice Dentistry in South Dakota

• 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.