NPIMap

Organization Active NPI

Reyes Garcia & O'Connor Dental, Inc.

  • General Practice Dentistry
  • Vista, CA
National Provider Identifier
1245877992
Registry record updated Jul 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
REYES GARCIA & O'CONNOR DENTAL, INC.
Practice address
1631 S Melrose Dr Ste I
Vista, CA 92081-2405
Phone
(760) 598-7565
Fax
(760) 598-7565
NPI assigned
Dec 2, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2020

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

Authorized official

Name
Dr. Paulette Louise O'Connor, DDSNPI 1093182768
Title
President
Phone
(760) 598-7565

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1631 S Melrose Dr Ste I
Vista, CA 92081-2405

Mailing address

1611 S. Melrose Dr.
Ste. a #257
Vista, CA 92081
Phone (760) 598-7565

Other names 1

  • Melrose Dental & Braces Doing business as

National Provider Directory

National Provider Directory

Locations

1631 S Melrose Dr
Ste I
Vista, CA 92081
Phone (760) 598-7565

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1575244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594512000000",
    "number": "1245877992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 S. MELROSE DR.",
            "address_2": "STE. A #257",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "92081",
            "telephone_number": "760-598-7565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1631 S MELROSE DR STE I",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920812405",
            "telephone_number": "760-598-7565",
            "fax_number": "760-598-7565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REYES GARCIA & O'CONNOR DENTAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-02",
        "last_updated": "2020-07-12",
        "certification_date": "2020-07-12",
        "status": "A",
        "authorized_official_last_name": "O'CONNOR",
        "authorized_official_first_name": "PAULETTE",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-598-7565",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Melrose Dental & Braces",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.