Organization Active NPI

Rieser Family Dental, L.L.C.

  • General Practice Dentistry
  • Washington, MO
National Provider Identifier
1689766123
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
LC0523694 Issued in MO
Legal business name
RIESER FAMILY DENTAL, L.L.C.
Practice address
1351 South Jefferson
Suite 308
Washington, MO 63090
Phone
(636) 239-7654
Fax
(636) 239-5598
NPI assigned
Sep 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Gary Raymond Rieser, D.D.S.
Title
Member/Partner
Phone
(636) 239-7654

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X LC0523694 MO Primary

Addresses

Primary practice location

1351 South Jefferson
Suite 308
Washington, MO 63090

Mailing address

1351 South Jefferson
Suite 308
Washington, MO 63090
Phone (636) 239-7654

National Provider Directory

National Provider Directory

Locations

1351 Jefferson St
Ste 308
Washington, MO 63090
Phone (636) 239-7654

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689766123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1351 SOUTH JEFFERSON",
            "address_2": "SUITE 308",
            "city": "WASHINGTON",
            "state": "MO",
            "postal_code": "63090",
            "telephone_number": "636-239-7654",
            "fax_number": "636-239-5598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1351 SOUTH JEFFERSON",
            "address_2": "SUITE 308",
            "city": "WASHINGTON",
            "state": "MO",
            "postal_code": "63090",
            "telephone_number": "636-239-7654",
            "fax_number": "636-239-5598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIESER FAMILY DENTAL, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RIESER",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "RAYMOND",
        "authorized_official_title_or_position": "MEMBER/PARTNER",
        "authorized_official_telephone_number": "636-239-7654",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "LC0523694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.