Organization Active NPI

Reynolds Family Dentistry, PLC

  • Dentist
  • Richmond, VA
National Provider Identifier
1386038610
Registry record updated Mar 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401413636 Issued in VA
Legal business name
REYNOLDS FAMILY DENTISTRY, PLC
Practice address
5700 Old Richmond Ave
Suite a-3
Richmond, VA 23226-1828
Phone
(804) 282-8712
Fax
(804) 285-2101
NPI assigned
Mar 25, 2015
Last updated
Mar 25, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2015

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

Authorized official

Name
Dr. John Simpson Reynolds, DDS
Title
President/Owner
Phone
(804) 282-8712

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0401413636 VA Primary

Addresses

Primary practice location

5700 Old Richmond Ave
Suite a-3
Richmond, VA 23226-1828

Mailing address

5700 Old Richmond Ave
Suite a-3
Richmond, VA 23226-1828
Phone (804) 282-8712

National Provider Directory

National Provider Directory

Locations

5700 Old Richmond Ave
Ste A3
Richmond, VA 23226
Phone (804) 282-8712

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": "1427241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427241600000",
    "number": "1386038610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 OLD RICHMOND AVE",
            "address_2": "SUITE A-3",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232261828",
            "telephone_number": "804-282-8712",
            "fax_number": "804-285-2101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 OLD RICHMOND AVE",
            "address_2": "SUITE A-3",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232261828",
            "telephone_number": "804-282-8712",
            "fax_number": "804-285-2101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REYNOLDS FAMILY DENTISTRY, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-25",
        "last_updated": "2015-03-25",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "SIMPSON",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "804-282-8712",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401413636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2015; 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.