Dr. Gene a. Reisinger DDS, LLC.

Primary specialty

DentistTaxonomy code 122300000X

License

019015411 Issued in IL

Legal business name

DR. GENE A. REISINGER DDS, LLC.

Practice address

1122 Westgate St
Suite 200
Oak Park, IL 60301-1170

Phone

(708) 383-9099

Fax

(708) 383-9978

NPI assigned

Nov 18, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Gene A. Reisinger, DDSNPI 1710176615

Title

Dentist/Owner

Phone

(708) 383-9099

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Gene A Reisinger, DDS

  • Dentist
  • Oak Park, IL
  • NPI 1710176615
  NPD (past) Authorized official
• David Orion Reisinger, D.M.D.

  • Dentist
  • Oak Park, IL
  • NPI 1255885505
  NPD (past)

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

{
    "created_epoch": "1447804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447804800000",
    "number": "1821462508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 WESTGATE ST",
            "address_2": "SUITE 200",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011170",
            "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 ST",
            "address_2": "SUITE 200",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011170",
            "telephone_number": "708-383-9099",
            "fax_number": "708-383-9978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. GENE A. REISINGER DDS, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-18",
        "last_updated": "2015-11-18",
        "status": "A",
        "authorized_official_last_name": "REISINGER",
        "authorized_official_first_name": "GENE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "708-383-9099",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019015411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Oak Park, IL
• Providers in Oak Park, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2015; 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.