Organization Active NPI

Wendy D. Reynolds, D.D.S.

  • General Practice Dentistry
  • Wichita, KS
National Provider Identifier
1235237272
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
WENDY D. REYNOLDS, D.D.S.
Practice address
410 E. 61St St. N.
Wichita, KS 67219
Phone
(316) 744-3004
Fax
(316) 744-9566
NPI assigned
Sep 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Wendy D Reynolds, D.D.S.NPI 1790883734
Title
Owner
Phone
(316) 744-3004

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

410 E. 61St St. N.
Wichita, KS 67219

Mailing address

410 E. 61St St. N.
Wichita, KS 67219
Phone (316) 744-3004

National Provider Directory

National Provider Directory

Locations

410 E 61st St N
Park City, KS 67219
Phone (316) 744-0001

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235237272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 E. 61ST ST. N.",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "67219",
            "telephone_number": "316-744-3004",
            "fax_number": "316-744-9566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 E. 61ST ST. N.",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "67219",
            "telephone_number": "316-744-3004",
            "fax_number": "316-744-9566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WENDY D. REYNOLDS, D.D.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "316-744-3004",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.