Organization Active NPI

Rosemarie Cristina P. Reyes DDS Inc.

  • Dental Clinic/Center
  • Victorville, CA
National Provider Identifier
1013117993
Registry record updated Jul 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
ROSEMARIE CRISTINA P. REYES DDS INC.
Practice address
12602 Amargosa Rd
Ste. D
Victorville, CA 92392-7640
Phone
(760) 243-7701
Fax
(760) 243-2303
NPI assigned
Jul 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2007

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

Authorized official

Name
Rosemarie Cristina Patricio Reyes, DDS
Title
Ceo
Phone
(760) 243-7701

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

12602 Amargosa Rd
Ste. D
Victorville, CA 92392-7640

Mailing address

12602 Amargosa Rd
Ste. D
Victorville, CA 92392-7640
Phone (760) 243-7701

Other identifiers 1

IdentifierTypeStateIssuer
G93327-01OtherCADENTI-CAL PROVIDER NUMBER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184803200000",
    "number": "1013117993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12602 AMARGOSA RD",
            "address_2": "STE. D",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923927640",
            "telephone_number": "760-243-7701",
            "fax_number": "760-243-2303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12602 AMARGOSA RD",
            "address_2": "STE. D",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923927640",
            "telephone_number": "760-243-7701",
            "fax_number": "760-243-2303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSEMARIE CRISTINA P. REYES DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-19",
        "last_updated": "2007-07-19",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "ROSEMARIE CRISTINA",
        "authorized_official_middle_name": "PATRICIO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-243-7701",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI-CAL PROVIDER NUMBER",
            "identifier": "G93327-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Victorville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2007; 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.