David Anthony Reynaud, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

4886 Issued in WA

Practice address

810 Avenue D
Snohomish, WA 98290-2385

Phone

(360) 568-8577

NPI assigned

Sep 27, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Theodore Haines Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Du & Szabo DDS PLLC

  • Dental Clinic/Center
  • Snohomish, WA
  • NPI 1649771049
  NPD (past)

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

{
    "created_epoch": "1348704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348704000000",
    "number": "1811248065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 AVENUE D",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982902385",
            "telephone_number": "360-568-8577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 AVENUE D",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982902385",
            "telephone_number": "360-568-8577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNAUD",
        "first_name": "DAVID",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-27",
        "last_updated": "2012-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "4886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THEODORE",
            "last_name": "HAINES",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Charlotte Reed, OTR/L
• Lora Gahagan Eddy Reeves, MS, RD, LD
• Karisa Reinhard, LMP, DOULA
• Hilary Rose Reintges
• Susan Marie Reis, MD
• Andrea Reynolds, LMFT
• Tashaya Richard
• Karen Marie Richardson, LPN
• Marilene Richardson
• Alexxia Richmond

• Dentist in Snohomish, WA
• Providers in Snohomish, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2012; 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.