DR. REYMOND CARBONELL BAUTISTA DMD
NPI 1003083965
Dentist - General Practice in Davis, CA

Active since May 09, 2008PECOS Enrolled
1109 KENNEDY PL, SUITE #4, DAVIS, CA 95616(530) 753-9900(530) 753-9930 Get Directions Write a Review

NPPES record last updated: May 9, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Reymond Carbonell Bautista Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. REYMOND CARBONELL BAUTISTA DMD (NPI 1003083965) is an individual general practice provider in Davis, California, licensed in California (56217) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003083965
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. REYMOND CARBONELL BAUTISTACredential: DMD
Location Address1109 KENNEDY PL, SUITE #4Davis, CA 95616-1271
Mailing Address1109 Kennedy Pl, #2Davis, CA 95616-1271 · (530) 753-9900 · Fax (530) 753-9920
Fax(530) 753-9930
Sole ProprietorNo
Enumeration DateMay 9, 2008
NPI 1003083965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in CA · 56217
Definition
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.
1109 KENNEDY PL, Davis, CA 95616

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Reymond Carbonell Bautista Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95616 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$75.03 typical visit price
range $19.88 – $148.15
Typical copayment $18.75 (range $4.97 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
1109 KENNEDY PL, SUITE 1
DAVIS, CA 95616
Optometrist
1109 KENNEDY PL, SUITE 1
DAVIS, CA 95616

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Reymond Bautista's NPI number?

The NPI number for Reymond Bautista is 1003083965. It was assigned to this individual provider in the NPPES registry on May 9, 2008.

Where is Reymond Bautista located?

Reymond Bautista practices at 1109 Kennedy Pl Suite #4, Davis, CA 95616. The listed phone number is (530) 753-9900.

What is Reymond Bautista's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Reymond Bautista enrolled in Medicare?

Yes. Reymond Bautista is registered in the Medicare PECOS enrollment system.

What insurance does Reymond Bautista accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Reymond Bautista as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Reymond Bautista was last updated on May 9, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.