Reflection Ridge Dental, LLC

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

5688 Issued in KS

Legal business name

REFLECTION RIDGE DENTAL, LLC

Practice address

7570 W 21St St N
1050B
Wichita, KS 67205-1734

Phone

(316) 721-2024

Fax

(316) 721-9189

NPI assigned

Jan 14, 2009

Last updated

Jan 14, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael A Dold, D.D.S.NPI 1891774535

Title

Sole Member

Phone

(316) 721-2024

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

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.

• Michael Alan Dold, DDS

  • General Practice Dentistry
  • Wichita, KS
  • NPI 1891774535
  NPD (past) Authorized official
• Joshua Warren Davis, D.D.S.

  • Dentist
  • Wichita, KS
  • NPI 1487880282
  NPD (past)
• Steven J Dold, D.D.S.

  • General Practice Dentistry
  • Wichita, KS
  • NPI 1356603575
  NPD (past)

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

{
    "created_epoch": "1231891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231891200000",
    "number": "1972740843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7570 W 21ST ST N",
            "address_2": "1050B",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672051734",
            "telephone_number": "316-721-2024",
            "fax_number": "316-721-9189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7570 W 21ST ST N",
            "address_2": "1050B",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672051734",
            "telephone_number": "316-721-2024",
            "fax_number": "316-721-9189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REFLECTION RIDGE DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-14",
        "last_updated": "2009-01-14",
        "status": "A",
        "authorized_official_last_name": "DOLD",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "316-721-2024",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "KS",
            "license": "5688",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI OF DR DOLD",
            "identifier": "1891774535",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Reeves, MA, CCC-SLP
• Matthew Reuben Reeves, DPT
• Julie Reffner, COTA
• Reflection Living of Hidden Lakes
• Reflection Living, LLC
• Reflection Therapy LLC
• Reflections Residential Care, LLC
• Regal Medical Supply, LLC
• Katty Gabriela Regalado Pastor, PA-C
• Ana Gabriela Regalado-Gil, LSCSW

• Point of Service in Wichita, KS
• Providers in Wichita, KS by specialty
• Point of Service in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2009; 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.