Octavio De Los Reyes, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0102-200836 Issued in VA

Practice address

40 Lambert St
Suite 522
Staunton, VA 24401-2446

Phone

(540) 885-3525

Fax

(540) 886-5935

NPI assigned

Jan 26, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: octavio.de.los.reyes.1@13312.direct.athenahealth.com

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313020800000",
    "number": "1427028828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 BEDFORD LN",
            "city": "FISHERSVILLE",
            "state": "VA",
            "postal_code": "229392128",
            "telephone_number": "540-949-8121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 LAMBERT ST",
            "address_2": "SUITE 522",
            "city": "STAUNTON",
            "state": "VA",
            "postal_code": "244012446",
            "telephone_number": "540-885-3525",
            "fax_number": "540-886-5935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LOS REYES",
        "first_name": "OCTAVIO",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-26",
        "last_updated": "2011-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0102-200836",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005640172",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Douglas B Degen, MD
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• Darren Dick, MSED., BCBA

• Family Medicine Physician in Staunton, VA
• Providers in Staunton, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2011; 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.