Riesenberg Family Dental, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

RIESENBERG FAMILY DENTAL, LLC

Practice address

512 Highway 17 N
North Myrtle Beach, SC 29582-2904

Phone

(843) 580-1917

NPI assigned

May 18, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Katie Lauren Riesenberg, DMDNPI 1356791446

Title

Owner Dentist

Phone

(843) 580-1917

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Katie Lauren Riesenberg, D.M.D.

  • Dentist
  • Myrtle Beach, SC
  • NPI 1356791446
  NPD Authorized official

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

{
    "created_epoch": "1684368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684368000000",
    "number": "1558052514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8225 SANDLAPPER WAY",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295728178",
            "telephone_number": "513-484-4740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 HIGHWAY 17 N",
            "city": "NORTH MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295822904",
            "telephone_number": "843-580-1917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIESENBERG FAMILY DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-18",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A",
        "authorized_official_last_name": "RIESENBERG",
        "authorized_official_first_name": "KATIE",
        "authorized_official_middle_name": "LAUREN",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "843-580-1917",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald K Reynolds, M.D.
• Riccobene & Associates CCC DDS PC
• Riccobene & Associates Ccci, DDS, PC
• Riccobene & Associates Ccci, DDS, PC
• Mattie Carolyn Rich, RBT
• Sean Patrick Riley, RN
• Amanda Dawn Ritz, M.ED., MS., LPC
• Michael Paul Rivers, D.C.
• Morgan Amanda Rizzo
• Zachery Ryan Robinson, PHARMD, B.S.

• Dental Clinic/Center in North Myrtle Beach, SC
• Providers in North Myrtle Beach, SC by specialty
• Dental Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.