Shannon Renae Reineke, R.D.H.,B.S.H.M.

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

2516 Issued in KS

Practice address

Whitside Dental Clinic
Building 602 Warrior Road
Fort Riley, KS 66442

Phone

(785) 240-7410

NPI assigned

Feb 18, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1613606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613606400000",
    "number": "1821681073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2809 BROOKVILLE DR",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665028437",
            "telephone_number": "308-370-1599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WHITSIDE DENTAL CLINIC",
            "address_2": "BUILDING 602 WARRIOR ROAD",
            "city": "FORT RILEY",
            "state": "KS",
            "postal_code": "66442",
            "telephone_number": "785-240-7410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REINEKE",
        "first_name": "SHANNON",
        "middle_name": "RENAE",
        "name_prefix": "Ms.",
        "credential": "R.D.H.,B.S.H.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-18",
        "last_updated": "2021-02-18",
        "certification_date": "2021-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "KS",
            "license": "2516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shannon.r.reineke.ctr@mail.mil",
            "affiliation": "N",
            "endpointDescription": "military e-mail address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2809 Brookville Dr",
            "city": "Manhattan",
            "state": "KS",
            "country_code": "US",
            "postal_code": "665028437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Vanessa Johan Ramirez, DPT
• Lauryn B Rankin, DPT
• Mary Ellen Raymond, CNM
• Isaac Christian Reeb, RD
• Gabriel Isaac Reed, PSYD
• Leland C Reitz, M.D.
• Daniel Renfer, D.O.
• Joseph Kurt Retrum, DMD, MS
• Lori A Rilat, LMSW
• Travis L Robbins, PT

• Dental Hygienist in Fort Riley, KS
• Providers in Fort Riley, KS by specialty
• Dental Hygienist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.