Raquel R Reyes, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

51516 Issued in CA

Practice address

8590 Rio San Diego Dr Ste 110
San Diego, CA 92108-5597

Phone

(619) 299-1122

Fax

(619) 299-1163

NPI assigned

Oct 10, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Oct 12, 2015 through Oct 12, 2027

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kimball Dental Group of Mission Valley, PC

  • Dentist
  • San Diego, CA
  • NPI 1073164141
  NPD (past)

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922196757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8590 RIO SAN DIEGO DR STE 110",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921085597",
            "telephone_number": "619-299-1122",
            "fax_number": "619-299-1163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8590 RIO SAN DIEGO DR STE 110",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921085597",
            "telephone_number": "619-299-1122",
            "fax_number": "619-299-1163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "RAQUEL",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "51516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicky Reyes
• Noah Reyes
• Patty Reyes, VN
• Paula Katrina Sibulo Reyes, RPH
• Rafael M Reyes, PSYD
• Rebecca Reyes
• Reynaldo L Reyes Jr., PHYSICIAN ASSISTANT
• Ronald Reyes
• Ruby Chao Reyes, DDS
• Rudy A Reyes, D.C.

• General Practice Dentistry in San Diego, CA
• Providers in San Diego, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.