REFLECTION RIDGE DENTAL, LLC (NPI# 1972740843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972740843 |
| Entity Type | Organization |
| Organization Name | REFLECTION RIDGE DENTAL, LLC |
| Practice Address |
7570 W 21st St N 1050b Wichita KS 67205-1734 |
| Practice Telephone | 3167212024 |
| Practice Fax Number | 3167219189 |
| Mailing Telephone | 3167212024 |
| Mailing Fax Number | 3167219189 |
| Enumeration Date | 2009-01-14 |
| Last Update Date | 2009-01-14 |
| Authorized Official Name | MICHAEL A DOLD (SOLE MEMBER) |
| Authorized Official Telephone | 3167212024 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305S00000X | Point of Service | 5688 | KS | Managed Care Organizations |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | NPI OF DR DOLD | 1891774535 | 01 |
| Street Address |
7570 W 21ST ST N 1050B |
| City | WICHITA |
| State | KS |
| Zip Code | 67205-1734 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093711244 | Peeples Orthotics & Prosthetics LLC | Prosthetic/Orthotic Supplier | 7570 W 21st St N, Ste 1026b, Wichita, KS 67205-1734 | 2005-06-22 |
| 1811547102 | Janel Hartwell | Marriage & Family Therapist | 7570 W 21st St N, Wichita, KS 67205-1734 | 2019-09-18 |
| 1639526536 | Axiom Counseling & Therapy Services | Marriage & Family Therapist | 7570 W 21st St N, Building1042 Suite B, Wichita, KS 67205-1734 | 2016-05-20 |
| 1568835742 | Stefanie Marie Roth | Registered Nurse | 7570 W 21st St N, Suite 1026 D, Wichita, KS 67205-1734 | 2015-11-10 |
| 1336530716 | Bethany Owens | Social Worker | 7570 W 21st St N, Suite 1026d, Wichita, KS 67205-1764 | 2015-02-06 |
| 1356603575 | Steven J Dold | Dentist | 7570 W 21st St N, Ste 1026b, Wichita, KS 67205-1734 | 2012-06-13 |
| 1861752859 | Brent Carpenter | Dentist | 7570 W 21st St N, Building 1010, Wichita, KS 67205-1734 | 2012-05-23 |
| 1487880282 | Joshua Warren Davis | Dentist | 7570 W 21st St N, Bldg. 1050 Suite B, Wichita, KS 67205-1734 | 2009-06-08 |
| 1619136702 | Craig Douglas Ratzlaff | Dentist | 7570 W 21st St N, Bldg 1020 Ste A, Wichita, KS 67205-1734 | 2008-06-04 |
| 1972782498 | Erin Veranne Delmar | Marriage & Family Therapist | 7570 W 21st St N, Building 1050 Suite E, Wichita, KS 67205-1734 | 2007-10-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295211910 | Emily M Chastain | Dentist | 3213 N. Ridge Rd, Wichita, KS 67205 | 2018-07-16 |
| 1811415466 | Awaken Psychology LLC | Clinic/Center | 2552 N Maize Ct Suite 600, Wichita, KS 67205 | 2017-09-05 |
| 1962940288 | Moc Wichita LLC | Assisted Living Facility | 7057 W Village Circle, Wichita, KS 67205 | 2017-02-07 |
| 1003362732 | Moc Wichita, LLC | Assisted Living Facility | 7057 West Village Circle, Wichita, KS 67205 | 2016-09-01 |
| 1649637653 | Abigail Friend | Audiologist-Hearing Aid Fitter | 2558 Lake Way Circle, Wichita, KS 67205 | 2016-01-21 |
| 1134505399 | Myles Davidson | Dentist | 3510 N Ridge Rd Ste 500, Wichita, KS 67205 | 2015-08-10 |
| 1093121097 | The Eye Gallery, LLC | Optometrist | 3084 N. Maize Rd, Wichita, KS 67205 | 2014-07-10 |
| 1922428721 | Sam's West, Inc. | Technician/Technologist | 3084 N. Maize Road, Witchita, KS 67205 | 2014-04-18 |
| 1447693627 | Caryn Rana Landreth | Social Worker | 3114 N Brush Creek St, Wichita, KS 67205 | 2013-04-08 |
| 1902182686 | Return To Motion Medical | Durable Medical Equipment & Medical Supplies | 3221 N Ridge Port Circle, Wichita, KS 67205 | 2011-10-26 |
| Find all providers in zip 67205 | ||||
| Taxonomy Code | 305S00000X |
| Grouping | Managed Care Organizations |
| Classification | Point of Service |
| This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558734012 | Sonnya Natria Adams | Point of Service | 8722 Longlake Circle, Wichita, KS 67207 | 2015-11-05 |
| 1811276405 | Evergreen Wellnes Center | Point of Service | 9235 E Harry St, Wichita, KS 67207-5073 | 2011-08-12 |
| 1457666927 | Recovery Services Council Inc. | Point of Service | 1611 South Rutan, Wichita, KS 67218 | 2010-08-09 |
| 1902023732 | Eyeworks Eyewear Shoppe | Point of Service | 245 N Hillside St, Wichita, KS 67214-4903 | 2007-04-20 |
| 1669856720 | Emerald Senior Living | Point of Service | 1226 S Byron Rd, Wichita, KS 67209-1812 | 2015-07-17 |
| 1528454220 | Synatec Neuro, Inc | Point of Service | 4601 E Douglas Ave, Suite 116, Wichita, KS 67218-1031 | 2015-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124419676 | Jessica Reding | Point of Service | 11325 230th St, Linwood, KS 66052-4120 | 2015-02-05 |
| 1427350339 | Stephanie M Revels Md Pa | Point of Service | 8249 W 95 Th Street, Suite 108, Overland Park, KS 66212-3200 | 2010-11-29 |
| 1003958273 | Haven Supports, LLC | Point of Service | 920 E 8th St, Pittsburg, KS 66762-4302 | 2007-02-13 |
| 1871948497 | Sttt Dental Services LLC Corp | Point of Service | 120 W Osage St, Sedan, KS 67361-1518 | 2016-05-02 |
| 1285031476 | Briana Fugitt | Point of Service | 10730 Nall Ave, Suite 200, Overland Park, KS 66211-1366 | 2014-12-03 |
| 1336546555 | Suzanna Butz | Point of Service | 10730 Nall Ave, 200, Overland Park, KS 66211-1366 | 2014-12-03 |
| 1124386529 | Kaw Valley Hearing LLC | Point of Service | 1520 Wakarusa Dr, Suite B, Lawrence, KS 66047-1802 | 2012-04-24 |
| 1659566891 | Harvey Marion County Cddo | Point of Service | 500 N Main St, Suite 206, Newton, KS 67114-2211 | 2007-09-11 |
Please comment or provide details below to improve the information on REFLECTION RIDGE DENTAL, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.