Individual provider Active NPI

James Kevin Reichle, D.D.S.

  • General Practice Dentistry
  • Richmond, IL
National Provider Identifier
1932358876
Registry record updated Sep 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019024753 Issued in IL
Practice address
10015 Main St.
Richmond, IL 60071
Phone
(815) 678-4551
Fax
(815) 678-4555
NPI assigned
Sep 16, 2008
Last updated
Sep 16, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 019024753 IL Primary

Addresses

Primary practice location

10015 Main St.
Richmond, IL 60071

Mailing address

PO Box 532
Richmond, IL 60071-0532
Phone (815) 678-4551

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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

Enrollment IDStateProvider typePAC IDDetails
I20150413000376 IL Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 1355669995

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
019024753ILMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Smiles by Design Group LTD General Practice Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1221523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221523200000",
    "number": "1932358876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 532",
            "city": "RICHMOND",
            "state": "IL",
            "postal_code": "600710532",
            "telephone_number": "815-678-4551",
            "fax_number": "815-678-4555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10015 MAIN ST.",
            "city": "RICHMOND",
            "state": "IL",
            "postal_code": "60071",
            "telephone_number": "815-678-4551",
            "fax_number": "815-678-4555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REICHLE",
        "first_name": "JAMES",
        "middle_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-16",
        "last_updated": "2008-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019024753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, IL

Sources for this page

Verify at the official NPI Registry.