Timothy L. Reynolds, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN 9706 Issued in FL

Practice address

1955 21St Ave
Vero Beach, FL 32960-3091

Phone

(772) 257-8224

Fax

(772) 213-3157

NPI assigned

Sep 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Networks

• Freedom Health HMO Network

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.

• Nelson & Reynolds, PLLC

  • Dental Clinic/Center
  • East Wenatchee, WA
  • NPI 1194242859
  NPD (past)
• Reynolds & Reynolds, DDS, PLLC

  • General Practice Dentistry
  • East Wenatchee, WA
  • NPI 1205941937
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1154426823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1545 9TH ST SW",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329624312",
            "telephone_number": "772-257-8224",
            "fax_number": "772-213-3157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1955 21ST AVE",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329603091",
            "telephone_number": "772-257-8224",
            "fax_number": "772-213-3157"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1545 9th St SW",
            "address_purpose": "LOCATION",
            "city": "Vero Beach",
            "state": "FL",
            "postal_code": "329624312",
            "country_code": "US",
            "telephone_number": "772-257-8224",
            "fax_number": "772-213-3157",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12196 County Road 512",
            "address_purpose": "LOCATION",
            "city": "Fellsmere",
            "state": "FL",
            "postal_code": "329485463",
            "country_code": "US",
            "telephone_number": "772-257-8224",
            "fax_number": "772-213-3157",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "TIMOTHY",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN 9706",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "DN9706",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erica Restituyo
• Restorative Wellness Vero LLC
• Lourdes Reyes
• Melissa L Reynolds, MD
• Robin Reynolds
• Boris Reznikov, DO
• Ty Rheaume, PHARMD
• Rhoades Mobile Medical, Inc.
• Tracy Ricca-Mullahey, M.A.
• Rosemary Zara Ricci, CRNA

• General Practice Dentistry in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2023; 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.