Active NPI
Robin Lynn Reisz, D.D.S.
- Oral and Maxillofacial Surgery (Dentist)
- Fresno, CA
National Provider Identifier
1306212428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 46944
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 46944 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Oral and Maxillofacial Surgery (Dentist)
- Fresno, CA
- NPI 1962447557
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.