Organization Active NPI

Matthew D. McReynolds, D.D.S, P.L.L.C.

  • Dentist
  • Oklahoma City, OK
National Provider Identifier
1710436233
Registry record updated Sep 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6855 Issued in OK
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

Updated by the provider on Sep 26, 2016

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)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.