Antonio Hernandez Reza, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

34546 Issued in CA

Practice address

41238 Margarita Rd
Suite 103
Temecula, CA 92591-5552

Phone

(951) 699-4440

Fax

(951) 699-7429

NPI assigned

Feb 27, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 1, 2016 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Papworth and Henriod Dental Corp

  • General Practice Dentistry
  • Temecula, CA
  • NPI 1295677961
  NPD (past)

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508993676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41238 MARGARITA RD",
            "address_2": "SUITE 103",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925915552",
            "telephone_number": "951-699-4440",
            "fax_number": "951-699-7429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41238 MARGARITA RD",
            "address_2": "SUITE 103",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925915552",
            "telephone_number": "951-699-4440",
            "fax_number": "951-699-7429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REZA",
        "first_name": "ANTONIO",
        "middle_name": "HERNANDEZ",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "34546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosa Reyes
• Reymel Non Emergency Medical Transportation
• Crystal Reyna
• Jonathan Reynolds, FNP-BC
• Lori Reynolds, LMFT
• Jared Rhodes
• Hala Hanna Riad, REGISTERD INTERN
• Lauryn Giuliana Riboni
• Geoffrey Kenneth Ricchio, DC
• Rich Integrative Therapeutic Counseling

• General Practice Dentistry in Temecula, CA
• Providers in Temecula, 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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.