Active NPI
Arthur Winston Reynolds Jr., D.D.S.
- Dentist
- Raleigh, NC
National Provider Identifier
1164708673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 9241
- Practice address
- 7841 Alexander Promenade PL
Suite 100
Raleigh, NC 27617-1913 - Phone
- (919) 354-5400
- NPI assigned
- Oct 28, 2011
- 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 | 9241 | NC | Primary |
Addresses
Primary practice location
7841 Alexander Promenade PL
Suite 100
Raleigh, NC 27617-1913
Mailing address
5124 Copper Ridge Dr
Apt. 301
Durham, NC 27707-5564
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 |
|---|---|---|---|
| 9241 | NC | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319760000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332892800000",
"number": "1164708673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5124 COPPER RIDGE DR",
"address_2": "APT. 301",
"city": "DURHAM",
"state": "NC",
"postal_code": "277075564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7841 ALEXANDER PROMENADE PL",
"address_2": "SUITE 100",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276171913",
"telephone_number": "919-354-5400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYNOLDS",
"first_name": "ARTHUR",
"middle_name": "WINSTON",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-10-28",
"last_updated": "2012-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "9241",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.