Organization Active NPI

Reyes&Reyes D.D.S Dental Corp

Doing business as Cerritos Dental Group

  • Dentist
  • Azusa, CA
National Provider Identifier
1841657301
Registry record updated Apr 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
46945 Issued in CA
Legal business name
REYES&REYES D.D.S DENTAL CORP
Doing business as
Cerritos Dental Group
Practice address
635 E Arrow Hwy
Azusa, CA 91702-5802
Phone
(626) 915-8122
NPI assigned
Jan 28, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2016

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

Authorized official

Name
Dr. Martin G Reyes I, DDS
Title
Owner
Phone
(626) 915-8122

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 46945 CA Primary

Addresses

Primary practice location

635 E Arrow Hwy
Azusa, CA 91702-5802

Mailing address

635 E Arrow Hwy
Azusa, CA 91702-5802
Phone (626) 915-8122

Other names 1

  • Cerritos Dental Group Doing business as

National Provider Directory

National Provider Directory

Locations

635 E Arrow Hwy
Azusa, CA 91702
Phone (626) 915-8122

NPI Registry JSON

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

{
    "created_epoch": "1453939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461024000000",
    "number": "1841657301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 E ARROW HWY",
            "city": "AZUSA",
            "state": "CA",
            "postal_code": "917025802",
            "telephone_number": "626-915-8122",
            "fax_number": "626-915-0322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 E ARROW HWY",
            "city": "AZUSA",
            "state": "CA",
            "postal_code": "917025802",
            "telephone_number": "626-915-8122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REYES&REYES D.D.S DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-28",
        "last_updated": "2016-04-19",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-915-8122",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "46945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cerritos Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Azusa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2016; 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.