Marybeth Blair Reynolds, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10681 Issued in KY

Practice address

3723 S Griffith Ave
Owensboro, KY 42301-6950

Phone

(270) 926-3722

NPI assigned

Jul 20, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

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.

• Comfortable Care Dental Health Professionals, PA

  • General Practice Dentistry
  • Oldsmar, FL
  • NPI 1497136691

  General Practice

  NPD (past)

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

{
    "created_epoch": "1468972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705017600000",
    "number": "1922451335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 MAPLE AVE",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423015085",
            "telephone_number": "270-570-4804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3723 S GRIFFITH AVE",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423016950",
            "telephone_number": "270-926-3722"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3685 Tampa Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Oldsmar",
            "state": "FL",
            "postal_code": "346776337",
            "country_code": "US",
            "telephone_number": "813-616-8596",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "MARYBETH",
        "middle_name": "BLAIR",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-20",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN 22178",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "10681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Reusch, OCCUPATIONAL THERAPY
• Revive Life Ministries, Inc.
• Dawn Renee Reyes, RPH
• Holly M Reymolds, MSCCC/SLP
• Daniel Ada Reynolds, D.M.D.
• Rha Health Services Ky LLC
• Jerry Rhineburger, CSW
• Theresa O Rhineburger, ARNP
• Rhino Group
• Ada M Rhodes, P.A - C

• All providers in Owensboro, KY
• General Practice Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; 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.