Active NPI
Terrilyn Jamille Reynolds, D.D.S.
- General Practice Dentistry
- Houston, TX
National Provider Identifier
1093897043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 011715
- Practice address
- 3402 Highway 6 S Ste C
Houston, TX 77082-4207 - Phone
- (281) 759-5900
- NPI assigned
- Oct 19, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 30760 | TX | |
| General Practice Dentistry | 1223G0001X | 011715 | GA | Primary |
Addresses
Primary practice location
3402 Highway 6 S Ste C
Houston, TX 77082-4207
Mailing address
3402 Highway 6 S Ste C
Houston, TX 77082-4207
Phone (281) 759-5900
Other practice location 1
545 Edgewood Ave SE
Atlanta, GA 30312-1936
Phone (404) 771-7714
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00932709A | Medicaid | GA |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30760 | TX | MD | Psychologist |
| 011715 | GA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associates for Dental Health, PLLC | Dentist | Past | Accepting new patients |
| Texas Dental Associates, PA | General Practice | 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
- Houston, TX
- NPI 1366826174
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735862400000",
"number": "1093897043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3402 HIGHWAY 6 S STE C",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770824207",
"telephone_number": "281-759-5900",
"fax_number": "281-759-5900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3402 HIGHWAY 6 S STE C",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770824207",
"telephone_number": "281-759-5900"
}
],
"practiceLocations": [
{
"address_1": "545 Edgewood Ave SE",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303121936",
"country_code": "US",
"telephone_number": "404-771-7714",
"fax_number": "404-577-2500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REYNOLDS",
"first_name": "TERRILYN",
"middle_name": "JAMILLE",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-19",
"last_updated": "2025-01-03",
"certification_date": "2025-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "30760",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "GA",
"license": "011715",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00932709A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.