MR. KENNETH DIMAGMALIW REYES (NPI# 1194912576) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194912576 |
| Entity Type | Individual |
| Full Name | MR. KENNETH DIMAGMALIW REYES |
| Credential | DDS |
| Practice Address |
3980 San Pablo Dam Rd Suite 202 El Sobrante CA 94803-2840 |
| Mailing Address |
Po Box 5215 Hercules CA 94547-5215 |
| Practice Telephone | 5103235002 |
| Mailing Telephone | 5103235002 |
| Enumeration Date | 2007-09-28 |
| Last Update Date | 2010-02-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
48173 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083907547 | Kenneth Baldemor Reyes | Registered Nurse | 734 10th Ave, San Diego, CA 92101-6502 | 2011-05-17 |
| Street Address |
3980 SAN PABLO DAM RD SUITE 202 |
| City | EL SOBRANTE |
| State | CA |
| Zip Code | 94803-2840 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831267749 | Michael Akintola Ajayi | Dentist | 3980 San Pablo Dam Rd, Suite 102, El Sobrante, CA 94803-2840 | 2006-11-30 |
| 1962536748 | Alan Edward Hribar | Dentist | 3980 San Pablo Dam Rd, Suite 100, El Sobrante, CA 94803-2840 | 2007-03-15 |
| 1427187483 | Miguel Angel Pinell | Dentist | 3980 San Pablo Dam Rd, #206, El Sobrante, CA 94803 | 2007-03-05 |
| 1063553253 | William E Judson | Dentist | 3980 San Pablo Dam Rd, Ste 203, El Sobrante, CA 94803 | 2007-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831680446 | Andrew Jaejun Lee | Acupuncturist | 3980 San Pablo Dam Rd Ste 205, El Sobrante, CA 94803 | 2018-05-21 |
| 1104343458 | Kayla Simone Fields | Counselor | 4892 San Pablo Dam Road, El Sobrante, CA 94803 | 2017-08-28 |
| 1104353101 | Paula Jean Armstrong | Marriage & Family Therapist | 754 El Centro Rd, El Sobrante, CA 94803 | 2017-05-22 |
| 1932538121 | Wayne Matecki | Acupuncturist | 448 Valley View Road Suite B, El Sobrante, CA 94803 | 2013-11-07 |
| 1093937617 | Francine C. Manuel | Physical Therapist | 627 El Centro Road, El Sobrante, CA 94803 | 2007-05-03 |
| 1144362955 | Damon Garfield Whitaker | Counselor | 3535 El Portial Dr. B203, El Sobrante, CA 94803 | 2007-02-12 |
| 1457841058 | Maria Sanchez Madlansacay | Student in an Organized Health Care Education/Training Program | 4892 San Pablo Dam Rd, El Sobrante, CA 94803 | 2018-05-18 |
| 1801242110 | Omari Marzine Hudson | Counselor | 4892 San Pablo Dam Rd, El Sobrante, CA 94803 | 2016-05-05 |
| 1891154431 | Nelly Sarahy Hernandez | Counselor | 4892 San Pablo Dam Rd, El Sobrante, CA 94803 | 2016-02-10 |
| 1356627814 | Claudia Adriana Martinez | Counselor | 4892 San Pablo Dam Rd, El Sobrante, CA 94803 | 2011-10-28 |
| Find all providers in zip 94803 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811519531 | Arvil Reyes | Dentist | 3980 San Pablo Dam Rd Ste 202, El Sobrante, CA 94803-2816 | 2020-05-15 |
| 1912029471 | James Jonath Calata Canonizado | Dentist | 3550 San Pablo Dam Rd, Suite A6, El Sobrante, CA 94803-2796 | 2007-04-04 |
| 1457421752 | Dani Laksana | Dentist | 4426 Appian Way, El Sobrante, CA 94803-2208 | 2006-11-08 |
| 1619992492 | Rodica T. Popovici | Dentist | 4450 San Pablo Dam Rd, Suite D, El Sobrante, CA 94803-3053 | 2006-07-13 |
| 1699173153 | David Tawei Ting Dmd Apc | Dentist | 4426 Appian Way, El Sobrante, CA 94803-2208 | 2014-12-16 |
| 1497171961 | Star Dentistry, A Racelis Dental Group, Inc. | Dentist | 4300 San Pablo Dam Rd, El Sobrante, CA 94803-3002 | 2014-03-08 |
| 1427255736 | Andy Duong | Dentist | 4440 San Pablo Dam Rd, Suite C, El Sobrante, CA 94803-3052 | 2007-06-29 |
| 1174733869 | Randall R Stevenson | Dentist | 4440 San Pablo Dam Rd, Suite C, El Sobrante, CA 94803-3052 | 2007-05-23 |
| 1518187293 | Omera Naz | Dentist | 4440 San Pablo Dam Rd, Ste # A, El Sobrante, CA 94803-3052 | 2007-04-26 |
| 1962536748 | Alan Edward Hribar | Dentist | 3980 San Pablo Dam Rd, Suite 100, El Sobrante, CA 94803-2840 | 2007-03-15 |
| Find all providers in EL SOBRANTE | ||||
| City | EL SOBRANTE |
| Zip Code | 94803 |
Please comment or provide details below to improve the information on MR. KENNETH DIMAGMALIW REYES.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.