Active NPI
Matthew McReynolds, D.D.S.
- Dentist
- Oklahoma City, OK
National Provider Identifier
1083065874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6855
- Practice address
- 8283 S Walker Ave
#A
Oklahoma City, OK 73139-9413 - Phone
- (405) 632-5561
- NPI assigned
- Jun 23, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 6855 | OK | Primary |
Addresses
Primary practice location
8283 S Walker Ave
#A
Oklahoma City, OK 73139-9413
Mailing address
8283 S Walker Ave
#A
Oklahoma City, OK 73139-9413
Phone (405) 632-5561
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6855 | OK | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Progressive Dental | Past | Accepting new patients | |
| Matthew D. McReynolds, D.D.S, P.L.L.C. | Dentist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dentist
- Oklahoma City, OK
- NPI 1710436233
-
- General Practice Dentistry
- Oklahoma City, OK
- NPI 1417231887
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466640000000",
"number": "1083065874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8283 S WALKER AVE",
"address_2": "#A",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731399413",
"telephone_number": "405-632-5561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8283 S WALKER AVE",
"address_2": "#A",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731399413",
"telephone_number": "405-632-5561"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCREYNOLDS",
"first_name": "MATTHEW",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-06-23",
"last_updated": "2016-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OK",
"license": "6855",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.