Kevin Reyes, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

110069 Issued in CA

Practice address

20106 Pioneer Blvd Unit a&B
Cerritos, CA 90703-7400

Phone

(562) 474-1221

NPI assigned

Jul 17, 2022

Last updated

Feb 21, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1658016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1134854979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2106 DENMEAD ST",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907122848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20106 PIONEER BLVD UNIT A&B",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907037400",
            "telephone_number": "562-474-1221"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2106 Denmead St",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "CA",
            "postal_code": "907122848",
            "country_code": "US",
            "telephone_number": "562-334-5601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYES",
        "first_name": "KEVIN",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-17",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "110069",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "38715",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Resilience Social Work Inc.
• Resilient Communities
• Ann Marielle Reyes Reyes, NP
• Edgardo Mendoza Reyes Jr., RN
• Jessica Reyes
• Lorna P Reyes, O.D.
• Reibert Reyes, BCBA
• Reza Farokhpay MD Inc Apc
• Riva Lisa Reznick
• Robert Rhinehart

• Dentist in Cerritos, CA
• Providers in Cerritos, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2025; 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.