Active NPI
Robin L. Reisz, DDS. a Professional Corporation.
- Oral and Maxillofacial Surgery (Dentist)
- Fresno, CA
National Provider Identifier
1962447557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 46944
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 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 DirectoryLocations
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.
-
- Oral and Maxillofacial Surgery (Dentist)
- Fresno, CA
- NPI 1306212428
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.