Magnon Reyes DDS PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

MAGNON REYES DDS PLLC

Doing business as

Coney Island Dental Arts

Practice address

2004 Mermaid Ave
Brooklyn, NY 11224-2595

Phone

(718) 715-0305

NPI assigned

Mar 8, 2020

Last updated

Mar 8, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Magnon Ivan Reyes, DDSNPI 1356430706

Title

Owner

Phone

(646) 306-7141

Specialties & licenses 1

Addresses

Other names 1

• Coney Island Dental Arts Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Magnon Ivan Reyes, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Jackson Heights, NY
  • NPI 1356430706
  NPD (past) Authorized official

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

{
    "created_epoch": "1583625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583625600000",
    "number": "1215562491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3753 91ST ST",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113727901",
            "telephone_number": "646-306-7141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2004 MERMAID AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112242595",
            "telephone_number": "718-715-0305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNON REYES DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-08",
        "last_updated": "2020-03-08",
        "certification_date": "2020-03-08",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "MAGNON",
        "authorized_official_middle_name": "IVAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-306-7141",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coney Island Dental Arts",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tamar E. Magnas, M.D.
• Magnexx Imaging MRI PC
• Angelo L Magno, MD
• Sharon B Magno
• Magnolia Psychotherapy LCSW, PLLC
• Melissa Ann Magnotti, PH.D.
• Magnum Physical Therapy PC
• Keith T Magnussen
• Oksana Magomedova
• John Magrann III

• Dentist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.