Active NPI
David Reyes, RDA EF
- Dental Assistant
- Covina, CA
National Provider Identifier
1033355045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Assistant
- License
- 1119
- Practice address
- 1406 N Azusa Ave
Covina, CA 91722-1257 - Phone
- (626) 858-9940
- NPI assigned
- Dec 22, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Assistant | 126800000X | 1119 | CA | Primary |
Addresses
Primary practice location
1406 N Azusa Ave
Covina, CA 91722-1257
Mailing address
1406 N. Azusa Ave.
Covina, CA 91722
Phone (626) 858-9940
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1229904000000",
"number": "1033355045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1406 N. AZUSA AVE.",
"city": "COVINA",
"state": "CA",
"postal_code": "91722",
"telephone_number": "626-858-9940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1406 N AZUSA AVE",
"city": "COVINA",
"state": "CA",
"postal_code": "917221257",
"telephone_number": "626-858-9940"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYES",
"first_name": "DAVID",
"name_prefix": "Mr.",
"credential": "RDA EF",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-12-22",
"last_updated": "2008-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "126800000X",
"taxonomy_group": "",
"desc": "Dental Assistant",
"state": "CA",
"license": "1119",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Covina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.