Organization Active NPI

Javier G. Reyes Mdpa

  • Neurological Surgery Physician
  • San Antonio, TX
National Provider Identifier
1952735672
Registry record updated Aug 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
E8844 Issued in TX
Legal business name
JAVIER G. REYES MDPA
Practice address
811 N Main Ave
San Antonio, TX 78205-1107
Phone
(210) 222-9131
Fax
(210) 229-1148
NPI assigned
Aug 29, 2013
Last updated
Aug 29, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2013

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

Authorized official

Name
Patricia Sladovnik
Title
Office Manager
Phone
(210) 222-9131

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X E8844 TX Primary

Addresses

Primary practice location

811 N Main Ave
San Antonio, TX 78205-1107

Mailing address

811 N Main Ave
San Antonio, TX 78205-1107
Phone (210) 222-9131

Other identifiers 1

IdentifierTypeStateIssuer
032466701MedicaidTX

National Provider Directory

National Provider Directory

Locations

811 N Main Ave
San Antonio, TX 78205
Phone (210) 222-9131

NPI Registry JSON

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

{
    "created_epoch": "1377734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377734400000",
    "number": "1952735672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 N MAIN AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782051107",
            "telephone_number": "210-222-9131",
            "fax_number": "210-229-1148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 N MAIN AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782051107",
            "telephone_number": "210-222-9131",
            "fax_number": "210-229-1148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAVIER G. REYES MDPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-29",
        "last_updated": "2013-08-29",
        "status": "A",
        "authorized_official_last_name": "SLADOVNIK",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "210-222-9131"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "TX",
            "license": "E8844",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "032466701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2013; 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.