NPIMap

Organization Active NPI

James D Reynolds DDS LTD

  • Dentist
  • Roanoke, VA
National Provider Identifier
1760682603
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401 007094 Issued in VA
Legal business name
JAMES D REYNOLDS DDS LTD
Practice address
5000 Brambleton Avenue
Roanoke, VA 24018
Phone
(540) 769-6370
Fax
(540) 769-6373
NPI assigned
Jul 19, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
James David Reynolds, DDSNPI 1467686451
Title
Owner
Phone
(540) 769-6370

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0401 007094 VA Primary

Addresses

Primary practice location

5000 Brambleton Avenue
Roanoke, VA 24018

Mailing address

5000 Brambleton Avenue
Roanoke, VA 24018
Phone (540) 769-6370

National Provider Directory

National Provider Directory

Locations

5000 Brambleton Ave
Roanoke, VA 24018
Phone (540) 769-6370

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760682603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 BRAMBLETON AVENUE",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "24018",
            "telephone_number": "540-769-6370",
            "fax_number": "540-769-6373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 BRAMBLETON AVENUE",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "24018",
            "telephone_number": "540-769-6370",
            "fax_number": "540-769-6373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES D REYNOLDS DDS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-769-6370",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401 007094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.