Jorge Reyes Dental Corp

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

JORGE REYES DENTAL CORP

Practice address

950 E Pennsylvania Ave Ste B
Escondido, CA 92025-3436

Phone

(760) 220-5995

Fax

(760) 741-5775

NPI assigned

Jun 3, 2021

Organization subpart

No

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

Authorized official

Name

Jorge Reyes, DDS

Title

Owner

Phone

(760) 220-5995

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1622678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622678400000",
    "number": "1447826938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 E PENNSYLVANIA AVE STE B",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920253436",
            "telephone_number": "760-220-5995",
            "fax_number": "760-741-5775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 E PENNSYLVANIA AVE STE B",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920253436",
            "telephone_number": "760-220-5995",
            "fax_number": "760-741-5775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORGE REYES DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-03",
        "last_updated": "2021-06-03",
        "certification_date": "2021-06-03",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "JORGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-220-5995",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsea Hannah Jordan, COTA/L
• Diane Dela Cruz Jordan, LVN
• Joseph Deane Jordan, DDS
• Karee Ann Jordan, M.S., CCC-SLP
• Trevor Davis Jordan
• Kaitlin Jorgensen
• Jose G Veliz MD Inc
• Joriel Jose
• Joseph a. Holtz D.D.S. a Professional Dental Corporation
• Joseph M. Mann III, MD, Handsurgery Apc

• Oral and Maxillofacial Surgery (Dentist) in Escondido, CA
• Providers in Escondido, CA by specialty
• Oral and Maxillofacial Surgery (Dentist) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2021; 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.