Individual provider Active NPI

Ryon Reckling, D.D.S.

  • Dentist
  • Sioux Falls, SD
National Provider Identifier
1841362266
Registry record updated Oct 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
M966 Issued in SD
Practice address
518 N Sycamore Ave
Sioux Falls, SD 57110-5737
Phone
(604) 261-0268
NPI assigned
Nov 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X M966 SD Primary

Addresses

Primary practice location

518 N Sycamore Ave
Sioux Falls, SD 57110-5737

Mailing address

3712 S Pillsberry Ave
Sioux Falls, SD 57103-7276
Phone (604) 261-0268

Other identifiers 1

IdentifierTypeStateIssuer
5350010MedicaidSD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
M966SDMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
East Ridge Dental LLC Current Accepting new patients
Reckling DDS, Prof LLC Current Accepting new patients

Locations

518 N Sycamore Ave
Sioux Falls, SD 57110
Phone (605) 373-0245

Organizations & group practices 2

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": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602028800000",
    "number": "1841362266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3712 S PILLSBERRY AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571037276",
            "telephone_number": "604-261-0268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 N SYCAMORE AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571105737",
            "telephone_number": "604-261-0268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RECKLING",
        "first_name": "RYON",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SD",
            "license": "M966",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5350010",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2020; 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.