Individual provider Active NPI

Dominique Michel Reynders, D.D.S.

  • General Practice Dentistry
  • Fort Belvoir, VA
National Provider Identifier
1790762490
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7006 Issued in CO
Practice address
9515 Hall Rd
Building 1099
Fort Belvoir, VA 22060-5529
Phone
(703) 806-4393
Fax
(703) 806-4376
NPI assigned
Dec 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7006 CO Primary

Addresses

Primary practice location

9515 Hall Rd
Building 1099
Fort Belvoir, VA 22060-5529

Mailing address

6900 Georgia Ave NW
Building T20, Room 206a
Washington, DC 20307-0003
Phone (202) 782-0988

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

State licenses

LicenseStateTypeSpecialty
7006COMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1135296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1790762490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6900 GEORGIA AVE NW",
            "address_2": "BUILDING T20, ROOM 206A",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "203070003",
            "telephone_number": "202-782-0988",
            "fax_number": "202-782-9195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9515 HALL RD",
            "address_2": "BUILDING 1099",
            "city": "FORT BELVOIR",
            "state": "VA",
            "postal_code": "220605529",
            "telephone_number": "703-806-4393",
            "fax_number": "703-806-4376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNDERS",
        "first_name": "DOMINIQUE",
        "middle_name": "MICHEL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-23",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "7006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Belvoir, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.