Active NPI
Patricia Beatrix Reyes, DMD
- General Practice Dentistry
- Henderson, NV
National Provider Identifier
1083062053
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 6775
- Practice address
- 2633 W Horizon Ridge Pkwy
Ste 130
Henderson, NV 89052-4832 - Phone
- (702) 897-7001
- NPI assigned
- May 31, 2016
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 6775 | NV | Primary |
Addresses
Primary practice location
2633 W Horizon Ridge Pkwy
Ste 130
Henderson, NV 89052-4832
Mailing address
7767 Sedalia St
Las Vegas, NV 89139-8715
Phone (702) 408-6473
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6775 | NV | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Radiant Smiles Series 3 LLC | General Practice | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Henderson, NV
- NPI 1548575996
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482451200000",
"number": "1083062053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7767 SEDALIA ST",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891398715",
"telephone_number": "702-408-6473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2633 W HORIZON RIDGE PKWY",
"address_2": "STE 130",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890524832",
"telephone_number": "702-897-7001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYES",
"first_name": "PATRICIA BEATRIX",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-31",
"last_updated": "2016-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NV",
"license": "6775",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.