Heather Rose Reyerson, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

5256-015 Issued in WI

Practice address

2505 Loomis St
La Crosse, WI 54603-1973

Phone

(608) 779-4313

NPI assigned

Aug 3, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Smile Care Center SC

  • Dental Clinic/Center
  • La Crosse, WI
  • NPI 1255947479
  NPD Authorized official

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003824525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2030 7TH ST S",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546015202",
            "telephone_number": "608-782-2812",
            "fax_number": "608-782-2815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 LOOMIS ST",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546031973",
            "telephone_number": "608-779-4313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYERSON",
        "first_name": "HEATHER",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "5256-015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Res-Care Wisconsin, Inc.
• Resilience Care Afh LLC
• Daniel Michael Ressler
• Paul F Reuteman, PT
• Sherri Reutlinger, APNP
• John M Reynen, M.D.
• Richard H Reynertson, MD
• Kerrie A Reynolds, D.D.S.
• Megan Reynolds
• Daniel A Reznichek, PT

• Dentist in La Crosse, WI
• Providers in La Crosse, WI by specialty
• Dentist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.