NPIMap

Organization Active NPI

Emelito R. Reyes, DDS, Inc.

  • General Practice Dentistry
  • Canoga Park, CA
National Provider Identifier
1366858896
Registry record updated Jul 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
42404 Issued in CA
Legal business name
EMELITO R. REYES, DDS, INC.
Practice address
6911 Topanga Canyon Blvd
Suite 102
Canoga Park, CA 91303-2316
Phone
(818) 340-2782
NPI assigned
Jul 4, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 4, 2014

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

Authorized official

Name
Dr. Emelito R. Reyes, DDS
Title
President
Phone
(818) 340-2782

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 42404 CA Primary

Addresses

Primary practice location

6911 Topanga Canyon Blvd
Suite 102
Canoga Park, CA 91303-2316

Mailing address

6911 Topanga Canyon Blvd
Suite 102
Canoga Park, CA 91303-2316
Phone (818) 340-2782

National Provider Directory

National Provider Directory

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": "1404432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404432000000",
    "number": "1366858896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6911 TOPANGA CANYON BLVD",
            "address_2": "SUITE 102",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913032316",
            "telephone_number": "818-340-2782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6911 TOPANGA CANYON BLVD",
            "address_2": "SUITE 102",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913032316",
            "telephone_number": "818-340-2782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMELITO R. REYES, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-04",
        "last_updated": "2014-07-04",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "EMELITO",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-340-2782",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "42404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canoga Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2014; 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.