Brenda Reyes, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

63932 Issued in CA

Practice address

6660 Lone Tree Way
Suite 7
Brentwood, CA 94513-5370

Phone

(925) 513-8363

NPI assigned

Nov 11, 2014

Sex

Female

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

Enrolled in CA

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.

Enrollment records 1

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Amardeep Gill, D.D.S., Inc.

  dba Brentwood Smiles Dental Group

  • Dentist
  • Brentwood, CA
  • NPI 1558629386
  NPD (past)
• Pacific Dental Services

  • Dentist
  • Brentwood, CA
  • NPI 1992181911
  NPD (past)

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

{
    "created_epoch": "1415664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415664000000",
    "number": "1699171108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6660 LONE TREE WAY",
            "address_2": "SUITE 7",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945135370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6660 LONE TREE WAY",
            "address_2": "SUITE 7",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945135370",
            "telephone_number": "925-513-8363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "BRENDA",
        "name_prefix": "Mrs.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-11",
        "last_updated": "2014-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "63932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Precious Harmony Gonzales Resngit
• Jennifer Tuyen Resto, RPH
• Revive Counseling Family Services
• Revive Day Program (ReVive)
• Jose Manuel Reyes Rivera III
• Brian Arellano Reyes, M.D.
• Carrington Armanti Reyes
• Kimberly Reyes
• Nathan Russell Reyes
• Jill Denise Reynolds

• Dentist in Brentwood, CA
• Providers in Brentwood, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.