DR. MICHAEL DOUGLAS REARDON (NPI# 1427258409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427258409 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL DOUGLAS REARDON |
| Credential | D.M.D. |
| Practice Address |
2315 Hickory Valley Rd Chattanooga TN 37421-1723 |
| Practice Telephone | 4238941029 |
| Mailing Telephone | 4238941029 |
| Enumeration Date | 2007-07-19 |
| Last Update Date | 2007-07-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
8689 | TN | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861939100 | Michael Reardon | Counselor | 987 Rc Hoag Drive, Lionel R John Health Center, Salamanca, NY 14779-1365 | 2017-01-25 |
| 1144540022 | Michael James Reardon | Family Medicine | 41 Dunlop Rd, Huntington, NY 11743-3932 | 2010-06-02 |
| 1558372813 | Michael Joseph Reardon | Dentist | 2 Stark Ave, Dover, NH 03820-4263 | 2006-08-11 |
| 1447243712 | Michael L Reardon | Internal Medicine | 906 Wb Mclean Blvd, Cape Carteret, NC 28584-9211 | 2005-08-23 |
| 1710222385 | Michael Reardon | Hearing Instrument Specialist | 160 Winthrop Ave, Lawrence, MA 01843-3840 | 2012-12-07 |
| 1740448497 | Michael A. Reardon | Radiology | 3155 Maplewood Ave, Winston Salem, NC 27103-3903 | 2008-05-29 |
| 1487607057 | Michael S Reardon | Radiology | 900 Welch Rd, Suite 101, Palo Alto, CA 94304-1805 | 2006-05-18 |
| 1053363366 | Michael S. Reardon | Psychiatry & Neurology | 5301 Davis Ln Bldg A200, Austin, TX 78749-4062 | 2006-05-16 |
| 1124079678 | Michael E Reardon | Anesthesiology | 5151 Reed Rd, Suite 225-c, Columbus, OH 43220-2595 | 2006-05-12 |
| 1124095617 | Michael Reardon | Nurse Anesthetist, Certified Registered | 3601 W. 13 Mile Rd, 400 Fsc-pcs, Royal Oak, MI 48073-6769 | 2006-03-02 |
| Street Address |
2315 HICKORY VALLEY RD |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37421-1723 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154497295 | Nicolaas Elmer Van Zyl | Dentist | 2315 Hickory Valley Rd, Chattanooga, TN 37421-1723 | 2006-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558991588 | Janera Pentiah | Physician Assistant | 1360 Mackey Branch Dr, Chattanooga, TN 37421 | 2020-01-17 |
| 1750921367 | Stephan Ian Belasco | Counselor | 1360 Mackey Branch Dr., Chattanooga, TN 37421 | 2020-01-11 |
| 1932745817 | Sound Living Inc | Community/Behavioral Health | 6727 Heritage Business Court, Suite 720, Chattanooga, TN 37421 | 2019-11-26 |
| 1245875046 | Chattanooga Compounding Pharmacy Inc. | Pharmacy | 7032 East Brainerd Rd, Suite A-b, Chattanooga, TN 37421 | 2019-11-15 |
| 1083105803 | Trauma and Addiction Recovery Center | Counselor | 6727 Heritage Business Ct Ste 718, Chattanooga, TN 37421 | 2018-05-29 |
| 1497257448 | Claude James Bowden | Counselor | 7372 Applegate Lane, Chattanooga, TN 37421 | 2018-03-06 |
| 1093213332 | Preferred Primary Care | Clinic/Center | 6031 Shallowford Rd Ste 105, Chattanooga, TN 37421 | 2018-01-31 |
| 1124526777 | Elizabeth Marie Wright | Nurse Practitioner | 6130 Shallowford Rd Ste 101, Chattanooga, TN 37421 | 2018-01-30 |
| 1477065712 | Publix Tennessee LLC | Durable Medical Equipment & Medical Supplies | 7326 Mccutcheon Rd, Chattanooga, TN 37421 | 2017-10-26 |
| 1144746645 | Mobility At Home LLC | Contractor | 6307 E Brainerd Rd, Chattanooga, TN 37421 | 2017-08-16 |
| Find all providers in zip 37421 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093360794 | Dr. Drew Shabo LLC | Dentist | 1309 Panorama Dr, Chattanooga, TN 37421-4770 | 2019-08-08 |
| 1356901946 | Tn Dental Professionals PC | Dentist | 1309 Panorama Dr Ste 101, Chattanooga, TN 37421-4771 | 2019-06-17 |
| 1447743653 | Tyler Fielding Mccubbins | Dentist | 1612 Gunbarrel Rd Ste 102, Chattanooga, TN 37421-4135 | 2018-06-12 |
| 1083134977 | Evan Scott Myers | Dentist | 951 Riverfront Pkwy Ste 101, Chattanooga, TN 37402-2185 | 2017-06-22 |
| 1851829162 | Adam Nathaniel Parker | Dentist | 7030 Lee Hwy Ste 101, Chattanooga, TN 37421-6795 | 2017-05-31 |
| 1770988834 | 32 Dental, LLC | Dentist | 7333 Shallowford Rd, Chattanooga, TN 37421-2627 | 2014-10-30 |
| 1497168579 | Mark S. Cowart, D.d.s. Inc | Dentist | 4355 Highway 58 Ste 103a, Chattanooga, TN 37416-2941 | 2014-06-06 |
| 1447508098 | Frederick H Thompson | Dentist | 4109 Mountain View Ave, Suite 300, Chattanooga, TN 37415-2096 | 2012-08-29 |
| 1699044487 | Constance Chamberlain Wise | Dentist | 4300 Dayton Blvd, Chattanooga, TN 37415 | 2011-12-22 |
| 1316125354 | Mark Stephen Dill | Dentist | 6102 Shallowford Rd Ste 101, Chattanooga, TN 37421-1684 | 2008-02-01 |
| Find all providers in CHATTANOOGA | ||||
| City | CHATTANOOGA |
| Zip Code | 37421 |
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| 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.