Individual provider Active NPI

Carlos Fernando Reyes Franco, DDS

  • General Practice Dentistry
  • Lodi, CA
National Provider Identifier
1477340545
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
111333 Issued in CA
Practice address
2610 Reynolds Ranch Pkwy
Lodi, CA 95240-6889
Phone
(209) 390-9379
NPI assigned
Apr 22, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

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 111333 CA Primary

Addresses

Primary practice location

2610 Reynolds Ranch Pkwy
Lodi, CA 95240-6889

Mailing address

2610 Reynolds Ranch Pkwy
Lodi, CA 95240-6889
Phone (209) 390-9379

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
111333CAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1745280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1477340545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2610 REYNOLDS RANCH PKWY",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952406889",
            "telephone_number": "209-390-9379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2610 REYNOLDS RANCH PKWY",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952406889",
            "telephone_number": "209-390-9379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES FRANCO",
        "first_name": "CARLOS",
        "middle_name": "FERNANDO",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-04-22",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "111333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lodi, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; 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.