NPIMap

Organization Active NPI

Reynolds-Incardona LTD.

  • General Practice Dentistry
  • Oak Park, IL
National Provider Identifier
1346387354
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
19-014144 Issued in IL
Legal business name
REYNOLDS-INCARDONA LTD.
Practice address
1515 N Harlem Ave
Suite 108
Oak Park, IL 60302-1250
Phone
(708) 445-0800
Fax
(708) 445-0808
NPI assigned
Jan 31, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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
Dr. Harry R. Reynolds, D.M.D.NPI 1205982519
Title
Vice President-Secretary
Phone
(847) 392-7947

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 19-014144 IL Primary

Addresses

Primary practice location

1515 N Harlem Ave
Suite 108
Oak Park, IL 60302-1250

Mailing address

1515 N Harlem Ave
Suite 108
Oak Park, IL 60302-1250
Phone (708) 445-0800

National Provider Directory

National Provider Directory
Tax ID family
Reynolds-Incardona LTD3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1515 N Harlem Ave
Ste 108
Oak Park, IL 60302
Phone (708) 445-0800

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346387354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 N HARLEM AVE",
            "address_2": "SUITE 108",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603021250",
            "telephone_number": "708-445-0800",
            "fax_number": "708-445-0808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 N HARLEM AVE",
            "address_2": "SUITE 108",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603021250",
            "telephone_number": "708-445-0800",
            "fax_number": "708-445-0808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REYNOLDS-INCARDONA LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "HARRY",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "VICE PRESIDENT-SECRETARY",
        "authorized_official_telephone_number": "847-392-7947",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "19-014144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, IL

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.