Active NPI
Matthew D. McReynolds, D.D.S, P.L.L.C.
- Dentist
- Oklahoma City, OK
National Provider Identifier
1710436233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6855
- Legal business name
- MATTHEW D. MCREYNOLDS, D.D.S, P.L.L.C.
- Practice address
- 8283 S Walker Ave
Suite a
Oklahoma City, OK 73139-9413 - Phone
- (405) 632-5561
- Fax
- (405) 632-6301
- NPI assigned
- Sep 26, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Matt McReynolds, DDS
- Title
- President
- Phone
- (405) 632-5561
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 6855 | OK | Primary |
Addresses
Primary practice location
8283 S Walker Ave
Suite a
Oklahoma City, OK 73139-9413
Mailing address
8283 S Walker Ave
Suite a
Oklahoma City, OK 73139-9413
Phone (405) 632-5561
Other names 1
- Progressive Dental
National Provider Directory
National Provider DirectoryLocations
8283 S Walker Ave
Ste A
Oklahoma City, OK 73139
Phone (405) 632-5561
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Oklahoma City, OK
- NPI 1679692446
-
- Dentist
- Oklahoma City, OK
- NPI 1083065874
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474848000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1474848000000",
"number": "1710436233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8283 S WALKER AVE",
"address_2": "SUITE A",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731399413",
"telephone_number": "405-632-5561",
"fax_number": "405-632-6301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8283 S WALKER AVE",
"address_2": "SUITE A",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731399413",
"telephone_number": "405-632-5561",
"fax_number": "405-632-6301"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MATTHEW D. MCREYNOLDS, D.D.S, P.L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2016-09-26",
"last_updated": "2016-09-26",
"status": "A",
"authorized_official_last_name": "MCREYNOLDS",
"authorized_official_first_name": "MATT",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "405-632-5561",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "OK",
"license": "6855",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Progressive Dental",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.