STEVIE REYNOLDS (NPI# 1710259429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710259429 |
| Entity Type | Individual |
| Full Name | STEVIE REYNOLDS |
| Credential | D.D.S. |
| Practice Address |
3414 Church Ave Brooklyn NY 11203-2714 |
| Mailing Address |
530 S Main St Orange CA 92868-4525 |
| Practice Telephone | 7186302197 |
| Enumeration Date | 2012-01-27 |
| Last Update Date | 2019-01-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 060205 | NY | Dental Providers |
| Street Address |
3414 CHURCH AVE |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11203-2714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992812317 | Lutheran Medical Center | General Acute Care Hospital | 3414 Church Ave, Brooklyn, NY 11203-2714 | 2006-08-23 |
| 1497379275 | Zev A Kizelnik | Student in an Organized Health Care Education/Training Program | 3414 Church Ave, Brooklyn, NY 11203-2714 | 2020-06-08 |
| 1841819190 | Abraham Kwok | Student in an Organized Health Care Education/Training Program | 3414 Church Ave, Brooklyn, NY 11203-2714 | 2020-04-15 |
| 1407319569 | Keiara Jerai Evans | Student in an Organized Health Care Education/Training Program | 3414 Church Ave, Brooklyn, NY 11203-2714 | 2019-04-07 |
| 1306326020 | Ayanna Makoonsingh-clare | Nurse Practitioner | 3414 Church Ave, Brooklyn, NY 11203-2714 | 2018-08-21 |
| 1356836936 | Kimberley Joell Mahoney | Dentist | 3414 Church Ave, Brooklyn, NY 11203-2714 | 2018-06-26 |
| 1508272964 | She Zhao | Registered Nurse | 3414 Church Ave, Brooklyn, NY 11203-2714 | 2014-07-07 |
| 1497092274 | Asia Frazier | Pediatrics | 3414 Church Ave, Brooklyn, NY 11203-2714 | 2013-01-13 |
| 1780978452 | Kelechi Ngwangwa | Pediatrics | 3414 Church Ave, Brooklyn, NY 11203-2714 | 2011-05-30 |
| 1831409861 | Rose C. Ubanwa | Nurse Practitioner | 3414 Church Ave, Brooklyn, NY 11203-2714 | 2010-10-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023615747 | Winnie Ming Wong | Dance Therapist | 451 Clarkson Ave R Building, Idd/mh Unit, R5west, Brooklyn, NY 11203 | 2020-10-06 |
| 1174134803 | Jermiah Jonoah Jones | Social Worker | 307 E 54th St, 3, Brooklyn, NY 11203 | 2020-08-14 |
| 1780201566 | Jesvin Jeyapaulraj | Student in an Organized Health Care Education/Training Program | 450 Clarkson Avenue, Suny Downstate, General Surgery Department, Brooklyn, NY 11203 | 2020-06-29 |
| 1881219731 | Natasha Thomas | Specialist | 140 East 52nd St Brooklyn, Apt 1r, Brooklyn, NY 11203 | 2020-06-16 |
| 1679197396 | Syed Hamza Bin Waqar | Student in an Organized Health Care Education/Training Program | 450 Clarkson Avenue, Msc 50, Suny Downstate, Brooklyn, NY 11203 | 2020-05-29 |
| 1013536846 | Isaak Rubinov | Student in an Organized Health Care Education/Training Program | 91 E 39th St, Brooklyn, NY 11203 | 2020-04-12 |
| 1932733615 | Shade Celestine | Specialist | 293 East53rd Street, Brooklyn, NY 11203 | 2020-03-03 |
| 1023656147 | Shenez Brutus | Nurse Practitioner | Suny Downstate College of Nursing, 450 Clarkson Avenue, Brooklyn, NY 11203 | 2019-12-19 |
| 1215586425 | Terry-ann Lee | Registered Nurse | 440 East 45th Street, Kings, NY 11203 | 2019-09-10 |
| 1568023828 | Mmeyeneabasi David Omede | Student in an Organized Health Care Education/Training Program | 450 Clarkson Avenue, Suny Downstate Medical Center, Brooklyn, NY 11203 | 2019-06-26 |
| Find all providers in zip 11203 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306454475 | Mighty Smiles LLC | Dentist | 837 59th St Fl 3, Brooklyn, NY 11220-3611 | 2020-07-15 |
| 1073131967 | Oraleye, Inc. | Dentist | 300 Cadman Plz W Fl 121, Brooklyn, NY 11201-3229 | 2020-07-08 |
| 1760017842 | New York University | Dentist | 445 Albee Square West, Floors 4a/5a, Brooklyn, NY 11201 | 2020-03-09 |
| 1215562491 | Magnon Reyes Dds Pllc | Dentist | 2004 Mermaid Ave, Brooklyn, NY 11224-2595 | 2020-03-08 |
| 1093348088 | Natalia Maglevannaya | Dentist | 1719 Sheepshead Bay Rd, Brooklyn, NY 11235-3606 | 2020-02-18 |
| 1558909465 | Greene Ave Dental Pllc | Dentist | 335 Greene Ave, Brooklyn, NY 11238 | 2019-12-11 |
| 1093374548 | David Zhukovsky | Dentist | 1812 Quentin Rd Ste M1, Brooklyn, NY 11229-1336 | 2019-06-09 |
| 1295390706 | Leon Tuberman | Dentist | 464 Neptune Ave Apt 12g, Brooklyn, NY 11224-4306 | 2019-05-09 |
| 1740752732 | Mark Paul Quinn I | Dentist | 1314 E 70th St, Brooklyn, NY 11234-5704 | 2019-01-02 |
| 1083109375 | Zenab Khan | Dentist | 262 56th St Unit 3, Brooklyn, NY 11220-2615 | 2018-06-28 |
| Find all providers in BROOKLYN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.