Randall J Reynolds DDS, PC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

RANDALL J REYNOLDS DDS, PC

Practice address

2200 Box Elder St
Suite 121
Miles City, MT 59301-2899

Phone

(406) 232-2214

NPI assigned

Oct 15, 2013

Last updated

Oct 15, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeanette J O'Dea

Title

Office MGR

Phone

(406) 232-2214

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1381795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381795200000",
    "number": "1902234727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 BOX ELDER ST",
            "address_2": "SUITE 121",
            "city": "MILES CITY",
            "state": "MT",
            "postal_code": "593012899",
            "telephone_number": "406-232-2214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 BOX ELDER ST",
            "address_2": "SUITE 121",
            "city": "MILES CITY",
            "state": "MT",
            "postal_code": "593012899",
            "telephone_number": "406-232-2214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDALL J REYNOLDS DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-15",
        "last_updated": "2013-10-15",
        "status": "A",
        "authorized_official_last_name": "O'DEA",
        "authorized_official_first_name": "JEANETTE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OFFICE MGR",
        "authorized_official_telephone_number": "406-232-2214"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Carrie Ponessa
• Cody Elizabeth Portwine-Kinzer, LCSW
• Kristen M Radke, COTA
• Cynthia S Radue, OT
• Lori Raisler, MS CCC-SLP
• Anna R Rapson, LCSW, LMFT
• J Randall Rauh, MD
• Cynthia A Raye, LCPC
• Jillian Reukauf
• John William Rex Sr., LAC

• Dentist in Miles City, MT
• Providers in Miles City, MT by specialty
• Dentist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2013; 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.