Active NPI
Michelle R. Reyna, M.D., P.a.
- Obstetrics & Gynecology Physician
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- MICHELLE R. REYNA, M.D., P.A.
- Practice address
- 1411 N Beckley Ave
Pav III, Ste 356
Dallas, TX 75203-1259 - Phone
- (214) 941-6228
- Fax
- (214) 941-6079
- NPI assigned
- Mar 23, 2007
- Last updated
- Jun 26, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michelle Reyna, MD
- Title
- Director
- Phone
- (214) 946-2341
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | NU | Primary |
Addresses
Primary practice location
1411 N Beckley Ave
Pav III, Ste 356
Dallas, TX 75203-1259
Mailing address
1411 N. Beckley Ave
Pav III, Ste 356
Dallas, TX 75203
Phone (214) 941-6228
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 190039101 | Medicaid | TX | |
| 0020PM | Other | TX | B/C B/S |
National Provider Directory
National Provider DirectoryLocations
1411 N Beckley Ave
Ste 35
Dallas, TX 75203
Phone (214) 941-6228
221 W Colorado Blvd
Ste 212
Dallas, TX 75208
Phone (214) 941-6228
Interoperability endpoints
- https://api.platform.athenahealth.com/4274/brand/1/csg/23/fhir/r4
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Obstetrics & Gynecology Physician
- Dallas, TX
- NPI 1821019381
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174608000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1372204800000",
"number": "1508983792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1411 N. BECKLEY AVE",
"address_2": "PAV III, STE 356",
"city": "DALLAS",
"state": "TX",
"postal_code": "75203",
"telephone_number": "214-941-6228",
"fax_number": "214-941-6079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1411 N BECKLEY AVE",
"address_2": "PAV III, STE 356",
"city": "DALLAS",
"state": "TX",
"postal_code": "752031259",
"telephone_number": "214-941-6228",
"fax_number": "214-941-6079"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHELLE R. REYNA, M.D., P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-23",
"last_updated": "2013-06-26",
"status": "A",
"authorized_official_last_name": "REYNA",
"authorized_official_first_name": "MICHELLE",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "214-946-2341",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "190039101",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "B/C B/S",
"identifier": "0020PM",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.