Rena Bains DDS Inc

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

43683 Issued in CA

Legal business name

RENA BAINS DDS INC

Practice address

2301 St Pauls Way
Modesto, CA 95355-3309

Phone

(209) 578-4153

NPI assigned

Apr 19, 2018

Organization subpart

No

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

Authorized official

Name

Rena BainsNPI 1669487468

Title

Ceo

Phone

(209) 578-4153

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.

• Rena Bains, D.D.S.

  • Periodontics
  • Modesto, CA
  • NPI 1669487468
  NPD (past) Authorized official

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

{
    "created_epoch": "1524096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524096000000",
    "number": "1861989394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 ST PAULS WAY",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953553309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 ST PAULS WAY",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953553309",
            "telephone_number": "209-578-4153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENA BAINS DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-19",
        "last_updated": "2018-04-19",
        "status": "A",
        "authorized_official_last_name": "BAINS",
        "authorized_official_first_name": "RENA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "209-578-4153"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "43683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tosha Leanne Reisdorff
• Timothy Robert Reiseck, D.C.
• Tessa Lynn Reisinger, MD
• Reliable Medical Transportation, Inc.
• Pamela Christine Remides, MFT TRAINEE
• Amy Lenea Renfro, NNP
• Cynthia Renee Renfrow
• Adrienne Renoir-Palecek
• Cristal Renteria
• Luz Renteria, B.A.

• Periodontics in Modesto, CA
• Providers in Modesto, CA by specialty
• Periodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2018; 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.