NPIMap

Organization Active NPI

Levi Reynolds DDS PLLC

  • Dental Clinic/Center
  • Puyallup, WA
National Provider Identifier
1013675271
Registry record updated Dec 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
LEVI REYNOLDS DDS PLLC
Practice address
2921 5TH Ave NE Ste 110
Puyallup, WA 98372-7044
Phone
(253) 841-3173
NPI assigned
Dec 6, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2021

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

Authorized official

Name
Levi Reynolds, DDSNPI 1790212470
Title
Owner
Phone
(253) 592-3687

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

2921 5TH Ave NE Ste 110
Puyallup, WA 98372-7044

Mailing address

2921 5TH Ave NE Ste 110
Puyallup, WA 98372-7044

Other names 1

  • Puyallup Valley Dental Care Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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": "1638748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638748800000",
    "number": "1013675271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2921 5TH AVE NE STE 110",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983727044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2921 5TH AVE NE STE 110",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983727044",
            "telephone_number": "253-841-3173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEVI REYNOLDS DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-06",
        "last_updated": "2021-12-06",
        "certification_date": "2021-12-06",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "LEVI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-592-3687",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Puyallup Valley Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Puyallup, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2021; 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.