Reifeis Oral Surgery and Dental Implants

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

REIFEIS ORAL SURGERY AND DENTAL IMPLANTS

Practice address

3303 Trier Rd
Fort Wayne, IN 46815-4768

Phone

(260) 999-4929

Fax

(260) 755-1086

NPI assigned

Oct 26, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Robert Louis Reifeis Jr., DDSNPI 1437179140

Title

Owner

Phone

(260) 602-6454

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Practitioners 1

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

• Robert L Reifeis Jr., D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Fort Wayne, IN
  • NPI 1437179140

  Oral and Maxillofacial Surgery

  NPD Authorized official

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

{
    "created_epoch": "1666742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683849600000",
    "number": "1932826344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16136 COLDWATER RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468459708",
            "telephone_number": "260-602-6454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3303 TRIER RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468154768",
            "telephone_number": "260-999-4929",
            "fax_number": "260-755-1086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REIFEIS ORAL SURGERY AND DENTAL IMPLANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-26",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A",
        "authorized_official_last_name": "REIFEIS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "260-602-6454",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIANA LICENSE",
            "identifier": "12009415A",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.CSWinOMS.com",
            "affiliation": "N",
            "address_1": "3303 Trier Rd",
            "city": "Fort Wayne",
            "state": "IN",
            "country_code": "US",
            "postal_code": "468154768",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Malayshia Reid, DOULA
• Mykhale Reid, RBT
• Reidenbach Nutrition, LLC
• Ann Reidenbach, MPH RD CD
• Amy Reidhaar, OD
• Robert L Reifeis Jr., D.D.S.
• Theresa Reiff
• Taylor Reihl
• Maia Reiley
• Wing Sue Maria Reilly

• Oral and Maxillofacial Surgery (Dentist) in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Oral and Maxillofacial Surgery (Dentist) in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2023; 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.