Jeffrey Eric Riesberg, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Practice address

1722 1St St
Highland Park, IL 60035-3202

Phone

(847) 266-1842

Fax

(847) 266-7948

NPI assigned

Jan 31, 2007

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609913169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "888 PLEASANT AVE",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600354616",
            "telephone_number": "847-266-1842",
            "fax_number": "847-266-7948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1722 1ST ST",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600353202",
            "telephone_number": "847-266-1842",
            "fax_number": "847-266-7948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIESBERG",
        "first_name": "JEFFREY",
        "middle_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen David Rheinstrom, M.D.
• Azadeh Riahi
• Harmony Lee Rich, PMHNP-BC
• Susanne Richter, PSYD
• Melanie Riedl, RPH
• Jennifer B Rifis-Meng, OTR/L
• Raima Rimkeviciene
• Digna Rivera, MSW
• Stuart Robb, DDS,MS
• Robert a Greendale MD SC

• General Practice Dentistry in Highland Park, IL
• Providers in Highland Park, 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 8, 2007; 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.