Organization Active NPI

James J. Reinersman D.M.D. P.C.

  • General Practice Dentistry
  • Alton, IL
National Provider Identifier
1962614479
Registry record updated Jul 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019-015837 Issued in IL
Legal business name
JAMES J. REINERSMAN D.M.D. P.C.
Practice address
2524 State St
Alton, IL 62002-5148
Phone
(618) 462-2607
Fax
(618) 462-2607
NPI assigned
May 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2016

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

Authorized official

Name
Dr. James Joseph Reinersman, D.M.D.
Title
President-Owner
Phone
(618) 462-2607

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 019-015837 IL Primary

Addresses

Primary practice location

2524 State St
Alton, IL 62002-5148

Mailing address

2524 State St
Alton, IL 62002-5148
Phone (618) 466-4717

National Provider Directory

National Provider Directory

Locations

2524 State St
Alton, IL 62002
Phone (618) 466-4717

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469404800000",
    "number": "1962614479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2524 STATE ST",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620025148",
            "telephone_number": "618-466-4717",
            "fax_number": "618-462-2607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2524 STATE ST",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620025148",
            "telephone_number": "618-462-2607",
            "fax_number": "618-462-2607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES J. REINERSMAN D.M.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2016-07-25",
        "status": "A",
        "authorized_official_last_name": "REINERSMAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT-OWNER",
        "authorized_official_telephone_number": "618-462-2607",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019-015837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2016; 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.