Savannah Jo Reynolds, D.D.S

Primary specialty

DentistTaxonomy code 122300000X

License

8252 Issued in SC

Practice address

1490 W O Ezell Blvd
Spartanburg, SC 29301-1553

Phone

(864) 285-3858

NPI assigned

Jul 11, 2013

Sex

Female

Sole proprietor

No

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 SC

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

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

{
    "created_epoch": "1373500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373500800000",
    "number": "1891136404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1490 W O EZELL BLVD",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293011553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1490 W O EZELL BLVD",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293011553",
            "telephone_number": "864-285-3858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "SAVANNAH",
        "middle_name": "JO",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-11",
        "last_updated": "2013-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "8252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meredith Revan, RN
• Griffin Revell, DMD
• Annie Dahena Rexha
• Gabriella Reyes, MD
• Jessica Leigh Reynolds, M.D.
• Stuart Frederick Reynolds, M.D.
• Kirby Rhinehart
• Roger Alan Rhoades, D.MIN, LPC
• Rhythm of Hope Counseling LLC
• Kimberly S Rice

• Dentist in Spartanburg, SC
• Providers in Spartanburg, SC by specialty
• Dentist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2013; 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.