Odin de Los Reyes DPM Inc

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

License

CT 000 680 Issued in CT

Legal business name

ODIN DE LOS REYES DPM INC

Practice address

81 W Main St
New Britain, CT 06051-4221

Phone

(860) 229-1999

Fax

(860) 225-8155

NPI assigned

Mar 17, 2008

Last updated

Mar 17, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Odin Anthony De Los Reyes, DPMNPI 1679682249

Title

Podiatrist

Phone

(860) 229-1999

Specialties & licenses 1

Addresses

Locations

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.

• Odin Delos Reyes, D.P.M

  • Primary Podiatric Medicine Podiatrist
  • Southbury, CT
  • NPI 1679682249
  NPD Authorized official

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

{
    "created_epoch": "1205712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205712000000",
    "number": "1841461936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 POMPERAUG OFFICE PARK",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "064882295",
            "telephone_number": "203-262-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 W MAIN ST",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060514221",
            "telephone_number": "860-229-1999",
            "fax_number": "860-225-8155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ODIN DE LOS REYES DPM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-17",
        "last_updated": "2008-03-17",
        "status": "A",
        "authorized_official_last_name": "DE LOS REYES",
        "authorized_official_first_name": "ODIN",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "860-229-1999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "CT",
            "license": "CT 000 680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelby O'Connell
• Annette O'Neill, LCSW
• Megan O'Shea, LCSW
• Antoinette Marie Oakes, CRNA
• Occupational Health Centers of the Southwest, P.a., P.C. (Concentra Medical Center)
• Patricia N. Odom, M.ED., MSW, LCSW
• James M Ohara, M.D.
• Margaret Okakpu, LMSW
• Lisa Michele Okarmus, MS, LPC
• Olivia Oken

• Primary Podiatric Medicine Podiatrist in New Britain, CT
• Providers in New Britain, CT by specialty
• Primary Podiatric Medicine Podiatrist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2008; 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.