NPIMap

Organization Active NPI

Reardon Dental Health

  • General Practice Dentistry
  • Sioux Falls, SD
National Provider Identifier
1881031128
Registry record updated May 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
M518 Issued in SD
Legal business name
REARDON DENTAL HEALTH
Practice address
3305 S Lincoln Ave
Sioux Falls, SD 57105-5224
Phone
(605) 336-8144
NPI assigned
May 28, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2013

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

Authorized official

Name
Mr. Tom J Reardon
Title
Cfo
Phone
(605) 335-5369

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X M518 SD Primary

Addresses

Primary practice location

3305 S Lincoln Ave
Sioux Falls, SD 57105-5224

Mailing address

3305 S Lincoln Ave
Sioux Falls, SD 57105-5224
Phone (605) 336-8144

National Provider Directory

National Provider Directory

Locations

3305 S Lincoln Ave
Sioux Falls, SD 57105
Phone (605) 336-8144

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1369699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369699200000",
    "number": "1881031128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3305 S LINCOLN AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571055224",
            "telephone_number": "605-336-8144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3305 S LINCOLN AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571055224",
            "telephone_number": "605-336-8144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REARDON DENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-28",
        "last_updated": "2013-05-28",
        "status": "A",
        "authorized_official_last_name": "REARDON",
        "authorized_official_first_name": "TOM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "605-335-5369",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "SD",
            "license": "M518",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 28, 2013; 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.