Individual provider Active NPI

Robin Lynn Reisz, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Fresno, CA
National Provider Identifier
1306212428
Registry record updated Aug 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
46944 Issued in CA
Practice address
1360 E Spruce Ave Ste 103
Fresno, CA 93720-3378
Phone
(559) 860-2500
Fax
(559) 860-2502
NPI assigned
Aug 12, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 46944 CA Primary

Addresses

Primary practice location

1360 E Spruce Ave Ste 103
Fresno, CA 93720-3378

Mailing address

755 E Nees Ave Unit 27046
Fresno, CA 93729-8662
Phone (559) 435-7555

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

LicenseStateTypeSpecialty
46944CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Robin L. Reisz, DDS. a Professional Corporation. Oral and Maxillofacial Surgery 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.

NPI Registry JSON

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

{
    "created_epoch": "1439337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1306212428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 E NEES AVE UNIT 27046",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937298662",
            "telephone_number": "559-435-7555",
            "fax_number": "559-435-7444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 E SPRUCE AVE STE 103",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203378",
            "telephone_number": "559-860-2500",
            "fax_number": "559-860-2502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REISZ",
        "first_name": "ROBIN",
        "middle_name": "LYNN",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-12",
        "last_updated": "2022-08-04",
        "certification_date": "2022-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "46944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; 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.