Active NPI
Melissa Reynoso
- Pediatrics Physician
- Irving, TX
National Provider Identifier
1629728175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- V7631
- Practice address
- 7200 State Highway 161 Ste 100
Irving, TX 75039-3800 - Phone
- (972) 853-5033
- NPI assigned
- Mar 27, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatrics Physician | 208000000X | V7631 | TX | Primary |
Addresses
Primary practice location
7200 State Highway 161 Ste 100
Irving, TX 75039-3800
Mailing address
1935 Medical District Dr
Dallas, TX 75235-7701
Other practice location 1
1935 Medical District Dr
Dallas, TX 75235-7701
Phone (214) 456-5518
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| V7631 | TX | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healing Hands Ministries Inc. | Past | Accepting new patients | |
| Pediatric Health Specialists, Inc | Pediatrics | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Healing Hands Ministries Greenville Family
- Federally Qualified Health Center (FQHC)
- Dallas, TX
- NPI 1306287529
-
- Pediatrics Physician
- Irving, TX
- NPI 1528586054
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751328000000",
"number": "1629728175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1935 MEDICAL DISTRICT DR",
"city": "DALLAS",
"state": "TX",
"postal_code": "752357701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7200 STATE HIGHWAY 161 STE 100",
"city": "IRVING",
"state": "TX",
"postal_code": "750393800",
"telephone_number": "972-853-5033"
}
],
"practiceLocations": [
{
"address_1": "1935 Medical District Dr",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752357701",
"country_code": "US",
"telephone_number": "214-456-5518",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REYNOSO",
"first_name": "MELISSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-27",
"last_updated": "2025-07-01",
"certification_date": "2025-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "V7631",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Irving, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.