Active NPI
Gene G Reister, DPM
- Foot & Ankle Surgery Podiatrist
- Richardson, TX
National Provider Identifier
1659470896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- DP1436
- Practice address
- 2001 N Collins Blvd
Ste 103
Richardson, TX 75080-2636 - Phone
- (972) 690-5374
- Fax
- (972) 690-6446
- NPI assigned
- Sep 22, 2006
- Last updated
- Aug 12, 2009
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | DP1436 | TX | Primary |
Addresses
Primary practice location
2001 N Collins Blvd
Ste 103
Richardson, TX 75080-2636
Mailing address
2001 N Collins Blvd
Ste 103
Richardson, TX 75080-2636
Phone (972) 690-5374
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 018663701 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 611 | TX | MD | Marriage & Family Therapist |
| DP1436 | TX | MD | Foot & Ankle Surgery Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1250035200000",
"number": "1659470896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 N COLLINS BLVD",
"address_2": "STE 103",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750802636",
"telephone_number": "972-690-5374",
"fax_number": "972-690-6446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 N COLLINS BLVD",
"address_2": "STE 103",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750802636",
"telephone_number": "972-690-5374",
"fax_number": "972-690-6446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REISTER",
"first_name": "GENE",
"middle_name": "G",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-22",
"last_updated": "2009-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "TX",
"license": "DP1436",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "018663701",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Richardson, TX
- Regency Medical Services LLC
- Regency Psychiatric Services LLC
- Regional Diagnostic Services
- Rehabcare
- Haroon Ur Rehman, M.D
- Rejoice Hospice Inc.
- Relationship Resolve (Pregnancy Care Center Richardson City)
- Relationships Refocused
- Reliant First Healthcare Services Inc (Reliant HealthCare Services)
- Caitlin Remaklus
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.