Individual provider Active NPI

Reinaldo Javier Hernandez Pineiro, DMD

  • General Practice Dentistry
  • Sacramento, CA
National Provider Identifier
1376270181
Registry record updated Aug 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
107647 Issued in CA
Practice address
3640 Crocker Dr
Suite 130
Sacramento, CA 95818
Phone
(916) 550-9429
NPI assigned
Aug 2, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 107647 CA Primary

Addresses

Primary practice location

3640 Crocker Dr
Suite 130
Sacramento, CA 95818

Mailing address

40 Park City CT Apt 6107
Sacramento, CA 95831-6104

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
107647CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Reymond Bautista Dental Corporation General Practice PastSince Aug 7, 2022 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": "1659398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1376270181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 PARK CITY CT APT 6107",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958316104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3640 CROCKER DR",
            "address_2": "SUITE 130",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "95818",
            "telephone_number": "916-550-9429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ PINEIRO",
        "first_name": "REINALDO",
        "middle_name": "JAVIER",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-02",
        "last_updated": "2022-08-02",
        "certification_date": "2022-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "107647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.