Ralph Ricardo Reynolds, DMD, MD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

7908 Issued in CO

Practice address

3520 E 15TH St Ste 102
Loveland, CO 80538-8938

Phone

(970) 663-6878

NPI assigned

Jan 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Oct 8, 2012 through Oct 8, 2026

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Oral & Facial Surgery of Loveland, LLC

  • Dental Clinic/Center
  • Loveland, CO
  • NPI 1518482199
  NPD Authorized official

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

{
    "created_epoch": "1137110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1346229689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3520 E 15TH ST STE 102",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805388938",
            "telephone_number": "970-663-6878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3520 E 15TH ST STE 102",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805388938",
            "telephone_number": "970-663-6878"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7251 W 20th St Unit P",
            "address_purpose": "LOCATION",
            "city": "Greeley",
            "state": "CO",
            "postal_code": "806344626",
            "country_code": "US",
            "telephone_number": "970-663-6878",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2992 Ginnala Dr",
            "address_purpose": "LOCATION",
            "city": "Loveland",
            "state": "CO",
            "postal_code": "805382701",
            "country_code": "US",
            "telephone_number": "970-663-6878",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "RALPH",
        "middle_name": "RICARDO",
        "name_prefix": "Dr.",
        "credential": "DMD, MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-13",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CO",
            "license": "38860",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CO",
            "license": "7908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michele Rewerts, RDH
• Reyes Corporation
• Maria Paula Reyes Ramirez, MD
• Cedar M Reynolds
• Kyle Reynolds, PHARM D.
• Shirley D Reynolds, LMFT
• Traci-Ann Seana Reynolds, RDH
• Phillip W Rhoads, MD
• Kevin Matthew Rhodes, OTR, CHT
• Megan Goodell Ricci, PA-C

• Oral and Maxillofacial Surgery (Dentist) in Loveland, CO
• Providers in Loveland, CO by specialty
• Oral and Maxillofacial Surgery (Dentist) in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.