Organization Active NPI

Robin L. Reisz, DDS. a Professional Corporation.

  • Oral and Maxillofacial Surgery (Dentist)
  • Fresno, CA
National Provider Identifier
1962447557
Registry record updated Aug 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
46944 Issued in CA
Legal business name
ROBIN L. REISZ, DDS. A PROFESSIONAL CORPORATION.
Practice address
1105 E Spruce Ave
Suite 204
Fresno, CA 93720-3313
Phone
(559) 435-7555
Fax
(559) 435-7444
NPI assigned
Jun 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2015

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

Authorized official

Name
Dr. Robin Lynn Reisz, D.D.S.NPI 1306212428
Title
President
Phone
(559) 435-7555

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
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X 46944 CA Primary

Addresses

Primary practice location

1105 E Spruce Ave
Suite 204
Fresno, CA 93720-3313

Mailing address

1105 E Spruce Ave
Suite 204
Fresno, CA 93720-3313
Phone (559) 250-4478

National Provider Directory

National Provider Directory

Locations

1105 E Spruce Ave
Ste 204
Fresno, CA 93720
Phone (559) 435-7555

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439251200000",
    "number": "1962447557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 E SPRUCE AVE",
            "address_2": "SUITE 204",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203313",
            "telephone_number": "559-250-4478",
            "fax_number": "559-431-7830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 E SPRUCE AVE",
            "address_2": "SUITE 204",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203313",
            "telephone_number": "559-435-7555",
            "fax_number": "559-435-7444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBIN L. REISZ, DDS. A PROFESSIONAL CORPORATION.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2015-08-11",
        "status": "A",
        "authorized_official_last_name": "REISZ",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-435-7555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "46944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2015; 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.