Active NPI
Robert Christopher Reynolds, DDS
- General Practice Dentistry
- West Warwick, RI
National Provider Identifier
1336266782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DEN02195
- Practice address
- 1071 Main St
West Warwick, RI 02893-3715 - Phone
- (401) 821-9209
- Fax
- (401) 821-9209
- NPI assigned
- Mar 23, 2007
- Last updated
- Jul 9, 2007
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DEN02195 | RI | Primary |
Addresses
Primary practice location
1071 Main St
West Warwick, RI 02893-3715
Mailing address
35 Candlewood Dr
North Kingstown, RI 02852-1623
Phone (401) 885-3624
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RR01261 | Medicaid | RI |
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 |
|---|---|---|---|
| DEN02195 | RI | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1336266782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 CANDLEWOOD DR",
"city": "NORTH KINGSTOWN",
"state": "RI",
"postal_code": "028521623",
"telephone_number": "401-885-3624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1071 MAIN ST",
"city": "WEST WARWICK",
"state": "RI",
"postal_code": "028933715",
"telephone_number": "401-821-9209",
"fax_number": "401-821-9209"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYNOLDS",
"first_name": "ROBERT",
"middle_name": "CHRISTOPHER",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-23",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "RI",
"license": "DEN02195",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "RR01261",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}Other providers in West Warwick, RI
- Susan Joan Raimondo-Banks, LCSW
- Jennifer Ann Ramieri, LMHC
- Gregory Anthony Raymondo, CPT
- Eric Joseph-Edward Reels, MS, CCC-SLP
- Sydney Rose Resendes, MS, LMHC-A
- Rhode Island CVS Pharmacy, L.L.C. (CVS Pharmacy # 00397)
- Rhode Island CVS Pharmacy, L.L.C. (CVS Pharmacy # 02323)
- Rhode Island CVS Pharmacy, L.L.C. (CVS Pharmacy# 02384)
- Laura G Richard
- Rise Above Therapy LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.