Individual provider Active NPI

Reuel McIntyre

  • General Practice Dentistry
  • Escondido, CA
National Provider Identifier
1073120135
Registry record updated Dec 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
104782 Issued in CA
Practice address
910 E Ohio Ave
Escondido, CA 92025-3438
Phone
(833) 867-4642
NPI assigned
Sep 23, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 104782 CA Primary
General Practice Dentistry 1223G0001X 35884 TX

Addresses

Primary practice location

910 E Ohio Ave
Escondido, CA 92025-3438

Mailing address

8061 Alameda Ave
El Paso, TX 79915-4705
Phone (915) 859-7545

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221128001409 TX Practitioner - Dentist 8426426321 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
104782CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Centro de Salud Familiar la Fe, Inc General Practice CurrentSince Oct 31, 2022 Accepting new patients
Centro de Salud Familiar la Fe, Inc. CurrentSince Oct 31, 2022 Accepting new patients
Hinderberger Dental Corporation General Practice PastSince Apr 20, 2025 Accepting new patients

Locations

1314 E Yandell Dr
El Paso, TX 79902

700 S Ochoa St
El Paso, TX 79901
Phone (915) 545-4550

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1600819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766188800000",
    "number": "1073120135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8061 ALAMEDA AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799154705",
            "telephone_number": "915-859-7545",
            "fax_number": "915-859-9862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 E OHIO AVE",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920253438",
            "telephone_number": "833-867-4642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCINTYRE",
        "first_name": "REUEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-23",
        "last_updated": "2025-12-20",
        "certification_date": "2025-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "104782",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "35884",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Escondido, CA

Sources for this page

Verify at the official NPI Registry.