Reynolds Oral & Maxillofacial Surgery, Inc

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

Legal business name

REYNOLDS ORAL & MAXILLOFACIAL SURGERY, INC

Practice address

104 Vine St
Princeton, WV 24740-3931

Phone

(304) 250-1214

Fax

(681) 282-5792

NPI assigned

Mar 2, 2021

Organization subpart

No

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

Authorized official

Name

Kristopher ReynoldsNPI 1700225141

Title

Owner

Phone

(304) 250-1214

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kristopher Neil Reynolds, DDS

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Princeton, WV
  • NPI 1700225141
  NPD Authorized official

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

{
    "created_epoch": "1614643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644537600000",
    "number": "1831784883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 VINE ST",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247403931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 VINE ST",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247403931",
            "telephone_number": "304-250-1214",
            "fax_number": "681-282-5792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REYNOLDS ORAL & MAXILLOFACIAL SURGERY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-02",
        "last_updated": "2022-02-11",
        "certification_date": "2021-12-27",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "KRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-250-1214"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rescare
• Rescare
• Rescare
• Rescare
• Rescare Behavior Services, Inc.
• Kristopher Neil Reynolds, DDS
• Lauren Reynolds
• Ruth M Rhodes, PA
• Riaz Uddin Riaz, M.D.
• Carly Ann Rich, LMT

• Oral & Maxillofacial Surgery (D.M.D.) in Princeton, WV
• Providers in Princeton, WV by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2022; 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.