Individual provider Active NPI

George Jeffrey Reinhart, D.M.D.

  • General Practice Dentistry
  • Souderton, PA
National Provider Identifier
1821218629
Registry record updated Jun 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS030982L Issued in PA
Practice address
775 Route 113
Souderton, PA 18964-1000
Phone
(215) 723-2162
NPI assigned
Apr 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS030982L PA Primary

Addresses

Primary practice location

775 Route 113
Souderton, PA 18964-1000

Mailing address

775 Route 113
Souderton, PA 18964-1000
Phone (215) 723-2162

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20150618000458 PA Order and Referring Only - DentistPractitioner - Dentist 0446561393

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS030982LPAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
R Todd Weaver, DMD & John L Reckner ,DMD General Practice Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435276800000",
    "number": "1821218629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "775 ROUTE 113",
            "city": "SOUDERTON",
            "state": "PA",
            "postal_code": "189641000",
            "telephone_number": "215-723-2162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 ROUTE 113",
            "city": "SOUDERTON",
            "state": "PA",
            "postal_code": "189641000",
            "telephone_number": "215-723-2162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REINHART",
        "first_name": "GEORGE",
        "middle_name": "JEFFREY",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-26",
        "last_updated": "2015-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS030982L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Souderton, PA

Sources for this page

Verify at the official NPI Registry.