Steven C Reynolds, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

11955 Issued in MI

Practice address

600 N Main St
Ste 100
Rochester, MI 48307-1426

Phone

(248) 652-1010

Fax

(248) 652-7005

NPI assigned

Jan 19, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Mar 1, 2018 through Mar 1, 2028

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Steven C Reynolds D.D.S, P.C.

  dba Dentists on Main, P.C.

  • General Practice Dentistry
  • Rochester, MI
  • NPI 1184770828
  NPD (past) Authorized official
• Professional Dental Alliance of Rochester, PLLC

  • Dentist
  • Rochester, MI
  • NPI 1871005074
  NPD (past)
• Midwestern University

  dba Midwestern University Dental Institute

  • Dental Clinic/Center
  • Glendale, AZ
  • NPI 1164744009
  NPD (past)

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619020054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N MAIN ST",
            "address_2": "STE 100",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483071426",
            "telephone_number": "248-652-1010",
            "fax_number": "248-652-7005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N MAIN ST",
            "address_2": "STE 100",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483071426",
            "telephone_number": "248-652-1010",
            "fax_number": "248-652-7005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "STEVEN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "11955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rescare Home Care Michigan
• Rescare Premier Inc (First Choice)
• Resilient Roots LLC
• Restorative Pathways, LLC
• Esther Yvonne Reynolds, P.T.
• Melissa Ann Ribbey, LLPC
• Elvedina Ribic, MSN, APRN, FNP-BC
• Michelle R Richards
• Deja Richardson
• Theresa Jeanette Richardson, PA-C

• Dentist in Rochester, MI
• Providers in Rochester, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.