Organization Active NPI

Reichley Dental Group

  • General Practice Dentistry
  • Beavercreek, OH
National Provider Identifier
1922243047
Registry record updated Dec 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30.021404 Issued in OH
Legal business name
REICHLEY DENTAL GROUP
Practice address
1450 Hanes Rd
Suite B
Beavercreek, OH 45434-6579
Phone
(937) 426-5560
NPI assigned
Dec 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2008

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

Authorized official

Name
Dr. Rochelle Louise Reichley, D.D.S.NPI 1659433902
Title
President
Phone
(937) 426-5560

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 30.021404 OH Primary

Addresses

Primary practice location

1450 Hanes Rd
Suite B
Beavercreek, OH 45434-6579

Mailing address

1450 Hanes Rd
Suite B
Beavercreek, OH 45434-6579
Phone (937) 426-5560

Other identifiers 1

IdentifierTypeStateIssuer
1659433902OtherINDIVIDUAL NPI AS PERSON AND PRACTITIONER VERSUS CORPORATION

National Provider Directory

National Provider Directory

Locations

1450 Hanes Rd
Ste B
Beavercreek, OH 45434
Phone (937) 426-5560

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1228262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228262400000",
    "number": "1922243047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 HANES RD",
            "address_2": "SUITE B",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454346579",
            "telephone_number": "937-426-5560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 HANES RD",
            "address_2": "SUITE B",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454346579",
            "telephone_number": "937-426-5560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REICHLEY DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-03",
        "last_updated": "2008-12-03",
        "status": "A",
        "authorized_official_last_name": "REICHLEY",
        "authorized_official_first_name": "ROCHELLE",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-426-5560",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.021404",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI AS PERSON AND PRACTITIONER VERSUS CORPORATION",
            "identifier": "1659433902",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beavercreek, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2008; 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.