Organization Active NPI

Michelle R. Reyna, M.D., P.a.

  • Obstetrics & Gynecology Physician
  • Dallas, TX
National Provider Identifier
1508983792
Registry record updated Jun 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
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, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2013

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

Authorized official

Name
Michelle Reyna, MDNPI 1821019381
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
190039101MedicaidTX
0020PMOtherTXB/C B/S

National Provider Directory

National Provider Directory

Locations

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

  • FHIR API: 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.

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.

Verify at the official NPI Registry.