DR. JASON KENJI REYDA D.D.S.
NPI 1962707976
Dentist - General Practice in Rohnert Park, CA
About Dr. Jason Kenji Reyda D.d.s. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JASON KENJI REYDA D.D.S. (NPI 1962707976) is an individual general practice provider in Rohnert Park, California, licensed in California (48983) and active in the NPI registry since January 2011. He has opted out of Medicare through November 10, 2026.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Dr. Jason Kenji Reyda D.d.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 10, 2016 through November 10, 2026.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 94928 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ROHNERT PARK, CA 94928
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 Jason Reyda's NPI number?
The NPI number for Jason Reyda is 1962707976. It was assigned to this individual provider in the NPPES registry on January 21, 2011.
Where is Jason Reyda located?
Jason Reyda practices at 5200 Snyder Ln Suite 1, Rohnert Park, CA 94928. The listed phone number is (707) 585-3160.
What is Jason Reyda's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is Jason Reyda enrolled in Medicare?
No. Jason Reyda has opted out of Medicare through November 10, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
What insurance does Jason Reyda accept?
Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 4 other insurers list Jason Reyda 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 Jason Reyda was last updated on May 22, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Dr. Jason Kenji Reyda, D.D.S. · NPI 1962707976
General Practice provider in Rohnert Park, California. Individual provider, active in the CMS NPPES registry since January 21, 2011.
## Identity
- **NPI:** 1962707976 (Entity type: Individual)
- **Enumerated:** January 21, 2011
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **State license:** 48983 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 5200 SNYDER LN, SUITE 1, Rohnert Park, CA 94928-2929
- **Phone:** (707) 585-3160
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through November 10, 2026); services are provided under private contract
## Record status
- **NPPES last updated:** May 22, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1962707976) · Data from the CMS NPPES public registry.