Dr Stephen Reisner Dentistry SC

Primary specialty

DentistTaxonomy code 122300000X

License

0003677 Issued in WI

Legal business name

DR STEPHEN REISNER DENTISTRY SC

Practice address

120 1St St S
Ladysmith, WI 54848-1801

Phone

(715) 532-5606

NPI assigned

Nov 29, 2006

Last updated

Jan 25, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Stephen D Reisner, DDSNPI 1710225735

Title

Owner

Phone

(715) 532-5606

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stephen D Reisner, DDS

  • Dentist
  • Ladysmith, WI
  • NPI 1710225735
  NPD (past) Authorized official

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359072000000",
    "number": "1811064231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 FIRST ST SO",
            "city": "LADYSMITH",
            "state": "WI",
            "postal_code": "54848",
            "telephone_number": "715-532-5606",
            "fax_number": "715-532-9675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 1ST ST S",
            "city": "LADYSMITH",
            "state": "WI",
            "postal_code": "548481801",
            "telephone_number": "715-532-5606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR STEPHEN REISNER DENTISTRY SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2013-01-25",
        "status": "A",
        "authorized_official_last_name": "REISNER",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-532-5606",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WI",
            "license": "0003677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohammed Dodwad, MD
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• Jenafer Marie Donohue, D.C.
• Neil Thomas Donohue, D.C.
• Thomas P. Donohue, D.C.
• Theodore John East, MS.MFT
• Jennifer Eastman, CPHT
• Barry Emrick, PA-C
• Tonya Marie Evjen, RDH
• Express Medical Incorporated

• Dentist in Ladysmith, WI
• Providers in Ladysmith, WI by specialty
• Dentist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2013; 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.