Lannie S. Zarate-Reyes D.D.S., Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

45798 Issued in CA

Legal business name

LANNIE S. ZARATE-REYES D.D.S., INC.

Practice address

579-10 Coleman Avenue
San Jose, CA 95110

Phone

(408) 588-1271

Fax

(408) 286-1271

NPI assigned

Feb 14, 2006

Organization subpart

No

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

Authorized official

Name

Lannie S Zarate-Reyes, D.D.S.NPI 1578914719

Title

President

Phone

(408) 666-8468

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lannie Zarate-Reyes, D.D.S.

  • Dentist
  • San Jose, CA
  • NPI 1578914719
  NPD (past) Authorized official

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277251200000",
    "number": "1467426882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "579 COLEMAN AVE STE 10",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951102005",
            "telephone_number": "408-588-1271",
            "fax_number": "408-286-1271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "579-10 COLEMAN AVENUE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95110",
            "telephone_number": "408-588-1271",
            "fax_number": "408-286-1271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANNIE S. ZARATE-REYES D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-14",
        "last_updated": "2010-06-23",
        "status": "A",
        "authorized_official_last_name": "ZARATE-REYES",
        "authorized_official_first_name": "LANNIE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-666-8468",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "45798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in San Jose, CA
• Providers in San Jose, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2010; 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.