CONNOR JAMES RIESENBERGER
NPI 1134975444
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Active since April 26, 2024
240 S 40TH ST, PHILADELPHIA, PA 19104(215) 573-2588 Get Directions Write a Review

NPPES record last updated: April 26, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Connor James Riesenberger NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CONNOR JAMES RIESENBERGER (NPI 1134975444) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania and active in the NPI registry since April 2024.

NPPES Registry Identity

NPI1134975444
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameCONNOR JAMES RIESENBERGER
Location Address240 S 40TH STPhiladelphia, PA 19104-6030
Mailing Address240 S 40th StPhiladelphia, PA 19104-6030 · (215) 573-2588
Sole ProprietorNo
Enumeration DateApril 26, 2024
NPPES CertifiedApril 26, 2024
NPI 1134975444 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

240 S 40TH ST, Philadelphia, PA 19104

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Pediatric Dentistry)
240 S 40TH ST, PEDIATRIC DENT-SCHOOL OF DENTAL MEDICINE
PHILADELPHIA, PA 19104
Dentist (General Practice)
240 S 40TH ST, PENN DENTAL MEDICINE
PHILADELPHIA, PA 19104
Dentist (Orthodontics and Dentofacial Orthopedics)
240 S 40TH ST
PHILADELPHIA, PA 19104
Dentist
240 S 40TH ST
PHILADELPHIA, PA 19104
Dentist (Oral and Maxillofacial Surgery)
240 S 40TH ST
PHILADELPHIA, PA 19104
Dentist (Periodontics)
240 S 40TH ST
PHILADELPHIA, PA 19104
Dentist (General Practice)
240 S 40TH ST
PHILADELPHIA, PA 19104
Dentist (Endodontics)
240 S 40TH ST, UNIVERSITY OF PENNSYLVANIA, SDM
PHILADELPHIA, PA 19104

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Connor Riesenberger's NPI number?

The NPI number for Connor Riesenberger is 1134975444. It was assigned to this individual provider in the NPPES registry on April 26, 2024.

Where is Connor Riesenberger located?

Connor Riesenberger practices at 240 S 40th St, Philadelphia, PA 19104. The listed phone number is (215) 573-2588.

What is Connor Riesenberger's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Connor Riesenberger was last updated on April 26, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.