Active NPI
Greer Cieutat Reisig, D.D.S.
- General Practice Dentistry
- Metaire, LA
National Provider Identifier
1164510541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 4416
- Practice address
- 337 Metaire Rono
Suite 200
Metaire, LA 70005 - Phone
- (504) 832-2043
- Fax
- (504) 832-1979
- NPI assigned
- Oct 10, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 4416 | LA | Primary |
Addresses
Primary practice location
337 Metaire Rono
Suite 200
Metaire, LA 70005
Mailing address
337 Metaire Rono
Suite 200
Metaire, LA 70005
Phone (504) 832-2043
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1844161 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220823003994 | LA | Order and Referring Only - Dentist | 1658754684 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4416 | LA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217462400000",
"number": "1164510541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "337 METAIRE RONO",
"address_2": "SUITE 200",
"city": "METAIRE",
"state": "LA",
"postal_code": "70005",
"telephone_number": "504-832-2043",
"fax_number": "504-832-1979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "337 METAIRE RONO",
"address_2": "SUITE 200",
"city": "METAIRE",
"state": "LA",
"postal_code": "70005",
"telephone_number": "504-832-2043",
"fax_number": "504-832-1979"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REISIG",
"first_name": "GREER",
"middle_name": "CIEUTAT",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-10",
"last_updated": "2008-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "LA",
"license": "4416",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1844161",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Metaire, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2008; 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.