Kristopher Neil Reynolds, DDS

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

155 Issued in WV

Practice address

104 Vine St
Princeton, WV 24740-3931

Phone

(304) 250-1214

NPI assigned

Jun 19, 2013

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Reynolds Oral & Maxillofacial Surgery, Inc

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Princeton, WV
  • NPI 1831784883
  NPD Authorized official
• DRS Brock, Henderson, Di Prisco, Ravelo and Green Inc

  • Oral and Maxillofacial Surgery (Dentist)
  • Beckley, WV
  • NPI 1194364398
  NPD (past)
• Lewis D Gilbert, DDS, LTD

  dba Southwern West Virgina Oral & Maxillofacial Surgeons, LTD

  • Oral and Maxillofacial Surgery Clinic/Center
  • Summersville, WV
  • NPI 1346374634
  NPD (past)
• TKR Oral Maxillofacial Surgeons Corporation

  • Oral and Maxillofacial Surgery (Dentist)
  • Beckley, WV
  • NPI 1710518543
  NPD (past)

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

{
    "created_epoch": "1371600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670284800000",
    "number": "1700225141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 VINE ST",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247403931",
            "telephone_number": "304-250-1214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 VINE ST",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247403931",
            "telephone_number": "304-250-1214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "KRISTOPHER",
        "middle_name": "NEIL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-19",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "WV",
            "license": "155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rescare
• Rescare
• Rescare
• Rescare Behavior Services, Inc.
• Reynolds Oral & Maxillofacial Surgery, Inc
• Lauren Reynolds
• Ruth M Rhodes, PA
• Riaz Uddin Riaz, M.D.
• Carly Ann Rich, LMT
• Jane Marie Richards

• Oral & Maxillofacial Surgery (D.M.D.) in Princeton, WV
• Providers in Princeton, WV by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2022; 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.