Alexis Rezac, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019036260 Issued in IL

Practice address

134 Detroit Ave
Morton, IL 61550-1532

Phone

(309) 263-7449

NPI assigned

Jul 14, 2025

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Smalltown Dental Morton LLC

  • General Practice Dentistry
  • Morton, IL
  • NPI 1720626906
  NPD
• Ronald J. Flanigan DDS, PC

  • General Practice Dentistry
  • Morton, IL
  • NPI 1881760346
  NPD (past)

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

{
    "created_epoch": "1752451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1609767987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42929 307TH ST",
            "city": "TABOR",
            "state": "SD",
            "postal_code": "570635808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 DETROIT AVE",
            "city": "MORTON",
            "state": "IL",
            "postal_code": "615501532",
            "telephone_number": "309-263-7449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REZAC",
        "first_name": "ALEXIS",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-14",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019036260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacey Lane Reeder, M.S.S.A., L.C.S.W.
• Breanna Regguinti
• Rejuv Peoria PC
• Renal Intervention Center, PLLC
• Restore Medical LLC
• Robert Eugene Richardson, D.C
• Steven J Richter, BS
• Kristin Rinkenberger, MA, LCPC
• Meghan Lynn Roath
• Carlen Anne Roeschley, ED.S.

• General Practice Dentistry in Morton, IL
• Providers in Morton, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2025; 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.