Organization Active NPI

Demetra Barr Reynolds MD PLLC

  • Family Medicine Physician
  • Chandler, AZ
National Provider Identifier
1841798055
Registry record updated Sep 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
DEMETRA BARR REYNOLDS MD PLLC
Practice address
1600 W Chandler Blvd Ste 160
Chandler, AZ 85224-6170
Phone
(480) 339-9101
Fax
(480) 508-1208
NPI assigned
Jan 23, 2018
Last updated
Sep 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2018

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

Authorized official

Name
Dr. Demetra Barr Reynolds, MD
Title
Owner
Phone
(480) 336-9101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

1600 W Chandler Blvd Ste 160
Chandler, AZ 85224-6170

Mailing address

1600 W Chandler Blvd Ste 160
Chandler, AZ 85224-6170

National Provider Directory

National Provider Directory

Locations

1600 W Chandler Blvd
Ste 160
Chandler, AZ 85224
Phone (480) 899-1696

NPI Registry JSON

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

{
    "created_epoch": "1516665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537142400000",
    "number": "1841798055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 W CHANDLER BLVD STE 160",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852246170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 W CHANDLER BLVD STE 160",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852246170",
            "telephone_number": "480-339-9101",
            "fax_number": "480-508-1208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEMETRA BARR REYNOLDS MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-23",
        "last_updated": "2018-09-17",
        "status": "A",
        "authorized_official_last_name": "BARR REYNOLDS",
        "authorized_official_first_name": "DEMETRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-336-9101",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2018; 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.