Individual provider Active NPI

Richard Dennis Reichman, DDS, FICCMO, FACMS

  • General Practice Dentistry
  • Norcross, GA
National Provider Identifier
1962686949
Registry record updated Dec 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9093 Issued in GA
Practice address
6063 Peachtree Pkwy
Suite 201B
Norcross, GA 30092-3303
Phone
(404) 934-2294
NPI assigned
Dec 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2007

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 9093 GA Primary

Addresses

Primary practice location

6063 Peachtree Pkwy
Suite 201B
Norcross, GA 30092-3303

Mailing address

2902 Northbrook Dr
Atlanta, GA 30340-4908
Phone (404) 934-2294

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1198627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198627200000",
    "number": "1962686949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2902 NORTHBROOK DR",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303404908",
            "telephone_number": "404-934-2294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6063 PEACHTREE PKWY",
            "address_2": "SUITE 201B",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300923303",
            "telephone_number": "404-934-2294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REICHMAN",
        "first_name": "RICHARD",
        "middle_name": "DENNIS",
        "name_prefix": "Dr.",
        "credential": "DDS, FICCMO, FACMS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-26",
        "last_updated": "2007-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "9093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norcross, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2007; 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.