Organization Active NPI

Sandra G Reyes, DDS. PLLC

Doing business as Sandra Reyes, DDS

  • General Practice Dentistry
  • Mesa, AZ
National Provider Identifier
1033313564
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5716 Issued in AZ
Legal business name
SANDRA G REYES, DDS. PLLC
Doing business as
Sandra Reyes, DDS
Practice address
4854 E Baseline Rd
Suite 101
Mesa, AZ 85206-4636
Phone
(480) 654-1811
Fax
(480) 654-1040
NPI assigned
Jun 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Sandra Garza Reyes, DDSNPI 1013914886
Title
Manager Owner Dentist
Phone
(480) 654-1811

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 5716 AZ Primary

Addresses

Primary practice location

4854 E Baseline Rd
Suite 101
Mesa, AZ 85206-4636

Mailing address

4854 E Baseline Rd
Suite 101
Mesa, AZ 85206-4636
Phone (480) 654-1811

Other names 1

  • Sandra Reyes, DDS Doing business as

National Provider Directory

National Provider Directory

Locations

4854 E Baseline Rd
Ste 101
Mesa, AZ 85206
Phone (480) 654-1811

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033313564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4854 E BASELINE RD",
            "address_2": "SUITE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064636",
            "telephone_number": "480-654-1811",
            "fax_number": "480-654-1040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4854 E BASELINE RD",
            "address_2": "SUITE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064636",
            "telephone_number": "480-654-1811",
            "fax_number": "480-654-1040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDRA G REYES, DDS. PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "GARZA",
        "authorized_official_title_or_position": "MANAGER OWNER DENTIST",
        "authorized_official_telephone_number": "480-654-1811",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "5716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sandra Reyes, DDS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.