Wendy D Reynolds, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6959 Issued in KS

Practice address

410 E. 61St St. N.
Wichita, KS 67219

Phone

(316) 744-3004

Fax

(316) 744-9566

NPI assigned

Sep 21, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

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.

• Wendy D. Reynolds, D.D.S.

  • General Practice Dentistry
  • Wichita, KS
  • NPI 1235237272
  NPD (past) Authorized official

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790883734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 E. 61ST ST. N.",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "67219",
            "telephone_number": "316-744-3004",
            "fax_number": "316-744-9566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 E. 61ST ST. N.",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "67219",
            "telephone_number": "316-744-3004",
            "fax_number": "316-744-9566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "WENDY",
        "middle_name": "D",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "6959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dereck Reynolds
• Joseph Michael Reynolds, D.O.
• Laney Reynolds
• Michael Reynolds, OTR
• Teresa A Reynolds, MD
• Anthony Toufik Rezcallah, MD
• Jean A Rhea, LCMFT, LMFT
• Airin Rachel Rhinehart
• Carol Denise Rhinehart, ARNP
• Stephanie Rhinehart, LMSW

• General Practice Dentistry in Wichita, KS
• Providers in Wichita, KS by specialty
• General Practice Dentistry in Kansas

• 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.