Active NPI
James J. Reinersman D.M.D. P.C.
- General Practice Dentistry
- Alton, IL
National Provider Identifier
1962614479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 019-015837
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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 DirectoryLocations
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.