Active NPI
Liza Reyes
- Dental Hygienist
- Pueblo West, CO
National Provider Identifier
1326380957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 002023485
- Practice address
- 92 S Golfwood Dr W
Pueblo West, CO 81007-3673 - Phone
- (719) 557-0774
- NPI assigned
- Mar 21, 2013
- 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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 002023485 | CO | Primary |
Addresses
Primary practice location
92 S Golfwood Dr W
Pueblo West, CO 81007-3673
Mailing address
1087 E Marengo Dr
Pueblo West, CO 81007-1259
Phone (956) 367-1433
Other names 1
- Liza Reyes
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 |
|---|---|---|---|
| 002023485 | CO | MD | Dental Hygienist |
Interoperability endpoints
- liza.reyes.p1@direct.peakvista.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652745600000",
"number": "1326380957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1087 E MARENGO DR",
"city": "PUEBLO WEST",
"state": "CO",
"postal_code": "810071259",
"telephone_number": "956-367-1433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "92 S GOLFWOOD DR W",
"city": "PUEBLO WEST",
"state": "CO",
"postal_code": "810073673",
"telephone_number": "719-557-0774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYES",
"first_name": "LIZA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-03-21",
"last_updated": "2022-05-17",
"certification_date": "2022-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "CO",
"license": "002023485",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LIZA",
"last_name": "REYES",
"credential": "RDH",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Pueblo West, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.