Active NPI
Marco Antonio Reyes, D.D.S.
- General Practice Dentistry
- San Francisco, CA
National Provider Identifier
1851494975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DDS51515
- Practice address
- 1525 Silver Ave
San Francisco, CA 94134-1229 - Phone
- (415) 657-1306
- Fax
- (510) 536-9453
- NPI assigned
- Sep 6, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DDS51515 | CA | Primary |
Addresses
Primary practice location
1525 Silver Ave
San Francisco, CA 94134-1229
Mailing address
1515 Fruitvale Ave
Oakland, CA 94601
Phone (510) 535-4000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DDS51515 | CA | MD | General Practice Dentistry |
| 51515 | CA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494374400000",
"number": "1851494975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 FRUITVALE AVE",
"city": "OAKLAND",
"state": "CA",
"postal_code": "94601",
"telephone_number": "510-535-4000",
"fax_number": "510-535-4128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1525 SILVER AVE",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941341229",
"telephone_number": "415-657-1306",
"fax_number": "510-536-9453"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYES",
"first_name": "MARCO",
"middle_name": "ANTONIO",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-06",
"last_updated": "2017-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "DDS51515",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.