Stephanie Marie Reyes, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

D012225 Issued in AZ

Practice address

13869 W Bell Rd Ste 103
Surprise, AZ 85374-2468

Phone

(623) 584-4015

NPI assigned

Jun 24, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Networks

• NM HMO C-SNP

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Festival Dental Group, LLP

  • General Practice Dentistry
  • Surprise, AZ
  • NPI 1497883128
  NPD (past)

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

{
    "created_epoch": "1719187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1003650086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8516 S 31ST WAY",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850428250",
            "telephone_number": "915-202-1749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13869 W BELL RD STE 103",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853742468",
            "telephone_number": "623-584-4015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "STEPHANIE",
        "middle_name": "MARIE",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-24",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D012225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Resilience Counseling Az, LLC
• Restoration Point LLC
• Ma Rowena Resultan
• Evan Reyes
• Jennifer Reyes
• Yvonne Reyes
• Jorge Manuel Reynoso Figueroa, MD
• Richard Lee Averitte Jr., PLLC
• Ashley Marie Richards
• Bernadette Louise Richardson

• Dentist in Surprise, AZ
• Providers in Surprise, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; 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.