Active NPI
Gene A Reisinger, DDS
- Dentist
- Oak Park, IL
National Provider Identifier
1710176615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Practice address
- 1122 Westgate
Suite 200
Oak Park, IL 60301-1082 - Phone
- (708) 383-9099
- Fax
- (708) 383-9978
- NPI assigned
- Oct 17, 2007
- Last updated
- Oct 17, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | IL | Primary |
Addresses
Primary practice location
1122 Westgate
Suite 200
Oak Park, IL 60301-1082
Mailing address
1122 Westgate
Suite 200
Oak Park, IL 60301-1082
Phone (708) 383-9099
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019015411 | IL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Gene a. Reisinger DDS, LLC. | Dentist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dentist
- Oak Park, IL
- NPI 1821462508
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192579200000",
"number": "1710176615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1122 WESTGATE",
"address_2": "SUITE 200",
"city": "OAK PARK",
"state": "IL",
"postal_code": "603011082",
"telephone_number": "708-383-9099",
"fax_number": "708-383-9978"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1122 WESTGATE",
"address_2": "SUITE 200",
"city": "OAK PARK",
"state": "IL",
"postal_code": "603011082",
"telephone_number": "708-383-9099",
"fax_number": "708-383-9978"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REISINGER",
"first_name": "GENE",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-10-17",
"last_updated": "2007-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oak Park, IL
- Philip Regan, DPT
- Megan Rosemary Reichard, ACNP
- Meghan Nora Reilly, LCSW
- Lynn Reisberg, FNP-C
- David Orion Reisinger, D.M.D.
- Shane Michael Reister, PSY.D.
- Rejuvenetics, LTD
- Relate Psychological Services LLC
- Relationship Counseling & Psychotherapy Services
- Resilience Healthcare - Lakefront Medical Associates, LLC (Chicago Health Medical Group)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.