Ryan Reopelle, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DN014934 Issued in GA

Practice address

3650 Colonial Ave
Roanoke, VA 24018-4004

Phone

(540) 989-3639

NPI assigned

Jun 13, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in VA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rreopelle102615@direct.carilionclinic.org

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.

• Carilion Medical Center

  • Multi-Specialty Clinic/Center
  • Roanoke, VA
  • NPI 1730123472
  Medicare reassignment NPD
• Parkway Pediatric Dentistry, PLLC

  • Pediatric Dentistry
  • Roanoke, VA
  • NPI 1467052019
  NPD Authorized official
• Carilion Medical Center

  • Durable Medical Equipment & Medical Supplies
  • Hardy, VA
  • NPI 1073324810
  NPD
• Anderson & Sheppard, Inc.

  • Pediatric Dentistry
  • Roanoke, VA
  • NPI 1619021540
  NPD (past)

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

{
    "created_epoch": "1371081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632700800000",
    "number": "1891133690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3650 COLONIAL AVE",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240184004",
            "telephone_number": "540-989-3639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 COLONIAL AVE",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240184004",
            "telephone_number": "540-989-3639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REOPELLE",
        "first_name": "RYAN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-13",
        "last_updated": "2021-09-27",
        "certification_date": "2020-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "GA",
            "license": "DN014934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rreopelle102615@direct.carilionclinic.org",
            "affiliation": "N",
            "endpointDescription": "rreopelle102615@direct.carilionclinic.org",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "101 Elm Ave SE",
            "city": "Roanoke",
            "state": "VA",
            "country_code": "US",
            "postal_code": "240132222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Reni Behavioral Health LLC
• Dalton Mark Renick, DO
• Tina Renick, RD
• Brittany Renner, DO
• Renovation Alliance
• Lisa Mollohan Repasky, P.A.
• John Scott Repass Sr., DDS
• Rescue Mission of Roanoke Inc
• Resilience Psychiatry PLLC
• Resilient Minds LLC

• Pediatric Dentistry in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Pediatric Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.