1114009834 NPI number — JOHN M. REIHNER, D.D.S., FAGD

Table of content: (NPI 1114009834)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1114009834 NPI number — JOHN M. REIHNER, D.D.S., FAGD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
JOHN M. REIHNER, D.D.S., FAGD
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1114009834
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
125 N FRANKLIN DR
Provider Second Line Business Mailing Address:
SUITE 5
Provider Business Mailing Address City Name:
WASHINGTON
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15301-5892
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
724-222-2256
Provider Business Mailing Address Fax Number:
724-222-9384

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
125 N FRANKLIN DR
Provider Second Line Business Practice Location Address:
SUITE 5
Provider Business Practice Location Address City Name:
WASHINGTON
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15301-5892
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-222-2256
Provider Business Practice Location Address Fax Number:
724-222-9384
Provider Enumeration Date:
10/20/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
REIHNER
Authorized Official First Name:
JOHN
Authorized Official Middle Name:
M.
Authorized Official Title or Position:
DENTIST
Authorized Official Telephone Number:
724-222-2256

Provider Taxonomy Codes

  • Taxonomy code: 1223G0001X , with the licence number:  DS021555L , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 113059 . This is a "UNITED CONCORDIA PROVIDER" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1598854556 . This is a "NPI # DR. KOSTYAL" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1194733675 . This is a "NPI # JOHN REIHNER" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 137901 . This is a "UNITED CONCORDIA PROVIDER" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".