Reardon Dental PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

REARDON DENTAL PC

Practice address

35 W Pennsylvania Ave
Downingtown, PA 19335-2611

Phone

(610) 269-0489

Fax

(610) 269-9783

NPI assigned

Jul 22, 2019

Last updated

Jul 22, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Laura Feller, DMDNPI 1558744664

Title

Owner

Phone

(610) 269-0489

Specialties & licenses 1

Addresses

Tax ID family

Reardon Dental2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Reardon Dental

  • Dentist
  • Phoenixville, PA
  • NPI 1669930913
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Laura Reardon Feller, DMD

  • Dentist
  • Downingtown, PA
  • NPI 1558744664
  Authorized official Same address or phone

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

{
    "created_epoch": "1563753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563753600000",
    "number": "1861045627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 W PENNSYLVANIA AVE",
            "city": "DOWNINGTOWN",
            "state": "PA",
            "postal_code": "193352611",
            "telephone_number": "610-269-0489",
            "fax_number": "610-269-9783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 W PENNSYLVANIA AVE",
            "city": "DOWNINGTOWN",
            "state": "PA",
            "postal_code": "193352611",
            "telephone_number": "610-269-0489",
            "fax_number": "610-269-9783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REARDON DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-22",
        "last_updated": "2019-07-22",
        "status": "A",
        "authorized_official_last_name": "FELLER",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-269-0489",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rabah Enterprises Inc (Medicine Shoppe)
• Eric B Rafuse, RPH
• Lauren Raspe, LCSW
• Susan Mary Rathfon, RPH,CPI
• Christopher R Ray, PSY.D.
• Catherine W. Reardon, M.A.
• William K Reardon, DMD
• Amanda Reaser, PT, DPT
• Frank J Recupero, D.M.D.
• Gayle Elizabeth Redditt, CRNP

• General Practice Dentistry in Downingtown, PA
• Providers in Downingtown, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2019; 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.