Organization Active NPI

Aw Reynolds Jr - Durham PLLC

  • Dental Clinic/Center
  • Durham, NC
National Provider Identifier
1548785306
Registry record updated Aug 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
09241 Issued in NC
Legal business name
AW REYNOLDS JR - DURHAM PLLC
Practice address
601 Fayetteville St Ste 100
Durham, NC 27701-3997
Phone
(919) 973-0178
NPI assigned
Aug 13, 2017
Organization subpart
Yes
Parent organization
ARTHUR REYNOLDS JR AND ASSOCIATES P.L.L.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 13, 2017

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

Authorized official

Name
Dr. Arthur Reynolds Jr., DDS
Title
Owner
Phone
(919) 323-0521

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 09241 NC Primary

Addresses

Primary practice location

601 Fayetteville St Ste 100
Durham, NC 27701-3997

Mailing address

2106 N Duke St
Durham, NC 27704-4108
Phone (919) 323-0521

Other names 1

  • Trophy Smiles Dentistry Doing business as

National Provider Directory

National Provider Directory
Part of
Arthur Reynolds Jr and Associates PLLC

Locations

601 Fayetteville St
Ste 100
Durham, NC 27701
Phone (919) 688-8949

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1502582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502582400000",
    "number": "1548785306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2106 N DUKE ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277044108",
            "telephone_number": "919-323-0521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 FAYETTEVILLE ST STE 100",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277013997",
            "telephone_number": "919-973-0178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AW REYNOLDS JR - DURHAM PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ARTHUR REYNOLDS JR AND ASSOCIATES P.L.L.C.",
        "enumeration_date": "2017-08-13",
        "last_updated": "2017-08-13",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-323-0521",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NC",
            "license": "09241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trophy Smiles Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.