Eliabeth C Reynolds, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7610 Issued in VA

Practice address

6901 Patterson Ave
Richmond, VA 23226-3647

Phone

(804) 288-5324

Fax

(804) 285-4098

NPI assigned

Nov 10, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• DRS Brown and Reynolds PTRS

  • Dental Clinic/Center
  • Richmond, VA
  • NPI 1558547802
  NPD (past)
• GD VA BRSL, PLLC

  dba Brown Reynolds Snow Lenoir Dentistry

  • General Practice Dentistry
  • Richmond, VA
  • NPI 1194409201
  NPD (past)

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780755082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 E GLENBROOKE CIR",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232298001",
            "telephone_number": "804-662-5672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6901 PATTERSON AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232263647",
            "telephone_number": "804-288-5324",
            "fax_number": "804-285-4098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "ELIABETH",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "7610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER NUMBER",
            "identifier": "107791",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tamara Rhiannon Reyes, FNP
• Barbara A. Reyna, NP
• Dianne Reynolds - Cane, MD
• Reynolds Family Dentistry, PLC
• Brandon S Reynolds
• Katherine Reynolds
• Kelly Reynolds
• Kelly Reynolds, DPT
• Lauren Reynolds, FNP-C
• Lindsay Kylene Reynolds, SLP

• General Practice Dentistry in Richmond, VA
• Providers in Richmond, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.