Active NPI
James Reinersman LLC
- General Practice Dentistry
- Alton, IL
National Provider Identifier
1003344250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- JAMES REINERSMAN LLC
- Practice address
- 2524 State St
Alton, IL 62002-5148 - Phone
- (618) 643-9523
- Fax
- (618) 643-9523
- NPI assigned
- Jun 1, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. David Guilbeault
- Title
- Owner/Dentist
- Phone
- (618) 643-9523
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
2524 State St
Alton, IL 62002-5148
Mailing address
1922 Edwardsville Club Plaza CT
Edwardsville, IL 62025-3717
Phone (618) 643-9523
National Provider Directory
National Provider DirectoryLocations
1922 Edwardsville Club Plaza Ct
Edwardsville, IL 62025
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496275200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1496275200000",
"number": "1003344250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1922 EDWARDSVILLE CLUB PLAZA CT",
"city": "EDWARDSVILLE",
"state": "IL",
"postal_code": "620253717",
"telephone_number": "618-643-9523",
"fax_number": "618-643-9523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2524 STATE ST",
"city": "ALTON",
"state": "IL",
"postal_code": "620025148",
"telephone_number": "618-643-9523",
"fax_number": "618-643-9523"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JAMES REINERSMAN LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-06-01",
"last_updated": "2017-06-01",
"status": "A",
"authorized_official_last_name": "GUILBEAULT",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "OWNER/DENTIST",
"authorized_official_telephone_number": "618-643-9523",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.