Organization Active NPI

Oral & Facial Surgery of Loveland, LLC

  • Dental Clinic/Center
  • Loveland, CO
National Provider Identifier
1518482199
Registry record updated Aug 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
7908 Issued in CO
Legal business name
ORAL & FACIAL SURGERY OF LOVELAND, LLC
Practice address
3520 E 15TH St Ste 102
Loveland, CO 80538-8938
Phone
(970) 663-6878
NPI assigned
Aug 4, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2017

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

Authorized official

Name
Dr. Ralph Ricardo Reynolds, DMD, MDNPI 1346229689
Title
Oral and Facial Surgeon
Phone
(970) 663-6878

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 7908 CO Primary

Addresses

Primary practice location

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

Mailing address

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

National Provider Directory

National Provider Directory

Locations

3520 E 15th St
Ste 102
Loveland, CO 80538
Phone (970) 663-6878

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1501804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501804800000",
    "number": "1518482199",
    "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"
        },
        {
            "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": [],
    "basic": {
        "organization_name": "ORAL & FACIAL SURGERY OF LOVELAND, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-04",
        "last_updated": "2017-08-04",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "RALPH",
        "authorized_official_middle_name": "RICARDO",
        "authorized_official_title_or_position": "ORAL AND FACIAL SURGEON",
        "authorized_official_telephone_number": "970-663-6878",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CO",
            "license": "7908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loveland, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2017; 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.