Organization Active NPI

David R Reinstadler M.D. Inc

  • Facial Plastic Surgery Physician
  • Newport Beach, CA
National Provider Identifier
1275955668
Registry record updated Oct 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X
License
A109185 Issued in CA
Legal business name
DAVID R REINSTADLER M.D. INC
Practice address
520 Superior Ave
Suite 240
Newport Beach, CA 92663-3637
Phone
(949) 200-9667
Fax
(949) 200-9498
NPI assigned
Jan 20, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2014

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

Authorized official

Name
Dr. David R Reinstadler, M.D.NPI 1225260862
Title
President
Phone
(949) 200-9667

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
Facial Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207YS0123X A109185 CA Primary

Addresses

Primary practice location

520 Superior Ave
Suite 240
Newport Beach, CA 92663-3637

Mailing address

520 Superior Ave
Suite 240
Newport Beach, CA 92663-3637
Phone (949) 200-9667

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160304000924 CA Part B Supplier - Clinic/Group Practice 1951607704 Receives reassigned benefits from 1 practitioner
Practice locations: Newport Beach, CA

National Provider Directory

National Provider Directory

Locations

361 Hospital Rd
Ste 533
Newport Beach, CA 92663
Phone (949) 200-9667

881 Dover Dr
Ste 350
Newport Beach, CA 92663
Phone (424) 644-9202

Practitioners & affiliated clinicians

Practitioners 1

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": "1390176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412726400000",
    "number": "1275955668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 SUPERIOR AVE",
            "address_2": "SUITE 240",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633637",
            "telephone_number": "949-200-9667",
            "fax_number": "949-200-9498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 SUPERIOR AVE",
            "address_2": "SUITE 240",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633637",
            "telephone_number": "949-200-9667",
            "fax_number": "949-200-9498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID R REINSTADLER M.D. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-20",
        "last_updated": "2014-10-08",
        "status": "A",
        "authorized_official_last_name": "REINSTADLER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-200-9667",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "CA",
            "license": "A109185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.