Organization Active NPI

Robert V. Reznichek DDS, a Professional Corp.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Escondido, CA
National Provider Identifier
1437547486
Registry record updated Dec 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
ROBERT V. REZNICHEK DDS, A PROFESSIONAL CORP.
Practice address
135 E Third Ave
Suite a
Escondido, CA 92595-4252
Phone
(760) 745-1831
Fax
(760) 745-3415
NPI assigned
Dec 29, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2014

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

Authorized official

Name
Dr. Robert Victor Reznichek, DDS
Title
Dentist-Orthodontist
Phone
(760) 745-1831

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X CA Primary

Addresses

Primary practice location

135 E Third Ave
Suite a
Escondido, CA 92595-4252

Mailing address

135 E Third Ave
Suite a
Escondido, CA 92595-4252
Phone (760) 745-1831

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1419811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419811200000",
    "number": "1437547486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 E THIRD AVE",
            "address_2": "SUITE A",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "925954252",
            "telephone_number": "760-745-1831",
            "fax_number": "760-745-3415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 E THIRD AVE",
            "address_2": "SUITE A",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "925954252",
            "telephone_number": "760-745-1831",
            "fax_number": "760-745-3415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT V. REZNICHEK DDS, A PROFESSIONAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-29",
        "last_updated": "2014-12-29",
        "status": "A",
        "authorized_official_last_name": "REZNICHEK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "VICTOR",
        "authorized_official_title_or_position": "DENTIST-ORTHODONTIST",
        "authorized_official_telephone_number": "760-745-1831",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Escondido, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.