NPIMap

Organization Active NPI

Dr Carlos Reyes-Pescador

  • General Practice Physician
  • Rockwall, TX
National Provider Identifier
1891946786
Registry record updated Oct 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
G4693 Issued in TX
Legal business name
DR CARLOS REYES-PESCADOR
Practice address
1000 English Rd
Blue Bonnet Estates
Rockwall, TX 75032-8288
Phone
(972) 524-5617
Fax
(972) 524-1035
NPI assigned
Oct 9, 2008
Last updated
Oct 9, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
CARLOS REYES-PESCADORAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 9, 2008

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

Authorized official

Name
Dr. Carlos Reyes-Pescador, MDNPI 1760644975
Title
Owner
Phone
(972) 279-1700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X G4693 TX Primary

Addresses

Primary practice location

1000 English Rd
Blue Bonnet Estates
Rockwall, TX 75032-8288

Mailing address

1800 N Galloway Ave
Suite # 100
Mesquite, TX 75149-2299
Phone (972) 279-1700

Other identifiers 1

IdentifierTypeStateIssuer
031940201MedicaidTX

National Provider Directory

National Provider Directory
Part of
Carlos P Reyes MD

Locations

1800 N Galloway Ave
Ste 100
Mesquite, TX 75149
Phone (214) 507-8149

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1223510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223510400000",
    "number": "1891946786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 N GALLOWAY AVE",
            "address_2": "SUITE # 100",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751492299",
            "telephone_number": "972-279-1700",
            "fax_number": "971-279-1102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 ENGLISH RD",
            "address_2": "BLUE BONNET ESTATES",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750328288",
            "telephone_number": "972-524-5617",
            "fax_number": "972-524-1035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR CARLOS REYES-PESCADOR",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CARLOS REYES-PESCADOR",
        "enumeration_date": "2008-10-09",
        "last_updated": "2008-10-09",
        "status": "A",
        "authorized_official_last_name": "REYES-PESCADOR",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-279-1700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "G4693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "031940201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockwall, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.