Individual provider Active NPI

Melinda Margolis Reynard, DDS

  • Dentist
  • San Carlos, CA
National Provider Identifier
1720084742
Registry record updated Mar 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
37728 Issued in CA
Practice address
1785 San Carlos Ave
Ste 3
San Carlos, CA 94070-2026
Phone
(650) 591-0995
Fax
(650) 591-2431
NPI assigned
Jun 23, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 37728 CA Primary

Addresses

Primary practice location

1785 San Carlos Ave
Ste 3
San Carlos, CA 94070-2026

Mailing address

1785 San Carlos Ave
Ste 3
San Carlos, CA 94070-2026
Phone (650) 591-0995

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

NPI Registry JSON

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458000000000",
    "number": "1720084742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1785 SAN CARLOS AVE",
            "address_2": "STE 3",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940702026",
            "telephone_number": "650-591-0995",
            "fax_number": "650-591-2431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1785 SAN CARLOS AVE",
            "address_2": "STE 3",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940702026",
            "telephone_number": "650-591-0995",
            "fax_number": "650-591-2431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNARD",
        "first_name": "MELINDA",
        "middle_name": "MARGOLIS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-23",
        "last_updated": "2016-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "37728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Carlos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.