Active NPI
Kreszentia Dawn B Reynolds, D.C.
- Chiropractor
- Candler, NC
National Provider Identifier
1487810487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3895
- Practice address
- 90 Acton Cir
Candler, NC 28715-9210 - Phone
- (828) 665-4353
- NPI assigned
- Jul 30, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3895 | NC | Primary |
Addresses
Primary practice location
90 Acton Cir
Candler, NC 28715-9210
Mailing address
90 Acton Cir
Candler, NC 28715-9210
Phone (828) 665-4353
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3895 | NC | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1227571200000",
"number": "1487810487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90 ACTON CIR",
"city": "CANDLER",
"state": "NC",
"postal_code": "287159210",
"telephone_number": "828-665-4353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "90 ACTON CIR",
"city": "CANDLER",
"state": "NC",
"postal_code": "287159210",
"telephone_number": "828-665-4353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYNOLDS",
"first_name": "KRESZENTIA DAWN",
"middle_name": "B",
"name_prefix": "Mrs.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-30",
"last_updated": "2008-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NC",
"license": "3895",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Candler, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.