Adam Reynolds, DMD

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

2014006033 Issued in MO

Practice address

25 Hughes Rd
Madison, AL 35758-2238

Phone

(256) 870-8700

Fax

(256) 870-0171

NPI assigned

Aug 22, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Adam Reynolds DMD Ortho LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Madison, AL
  • NPI 1720711948
  NPD Authorized official
• Humphrey Orthodontics, LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Wentzville, MO
  • NPI 1548708308
  NPD (past)
• St. Charles County Orthodonctics West

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Wentzville, MO
  • NPI 1245396134
  NPD (past)

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

{
    "created_epoch": "1471824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692835200000",
    "number": "1164977948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 HUGHES RD",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357582238",
            "telephone_number": "606-207-2780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 HUGHES RD",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357582238",
            "telephone_number": "256-870-8700",
            "fax_number": "256-870-0171"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1139 Wentzville Pkwy",
            "address_purpose": "LOCATION",
            "city": "Wentzville",
            "state": "MO",
            "postal_code": "633853404",
            "country_code": "US",
            "telephone_number": "636-332-5550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-22",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MO",
            "license": "2014006033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Restore Counseling Services, LLC
• Restoring Bodies Fitness & Nutrition Services
• Ian Reuter, DDS
• Revive Counseling
• Maria Mercedes Reyes Moreno
• Ashley Richard
• Hilary Parker Richards, RBT
• Gussie Roberta Richardson
• Brandon Richardsone
• Riley Family and Cosmetic Dentistry

• Orthodontics and Dentofacial Orthopedics Dentistry in Madison, AL
• Providers in Madison, AL by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.