DR. KELLY A REYNOLDS (NPI# 1811157183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811157183 |
| Entity Type | Individual |
| Full Name | DR. KELLY A REYNOLDS |
| Credential | DDS |
| Practice Address |
515 North Broadway Suite 4 Red Lodge MT 59068-9255 |
| Mailing Address |
10 Avanta Way Suite 3 Billings MT 59102-6873 |
| Practice Telephone | 4064462814 |
| Mailing Telephone | 4067021303 |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2017-11-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 2154 | MT | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
2154 | MT | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811459399 | Kelly Christine Reynolds | Student in an Organized Health Care Education/Training Program | 11750 Rosemount Drive, Fort Myers, FL 33913 | 2019-04-03 |
| 1750752572 | Kelly Elizabeth Reynolds | Counselor | 5830 Sw 89th Pl, Ocala, FL 34476-7701 | 2015-10-20 |
| 1205265766 | Kelly Reynolds | Hearing Instrument Specialist | 603 Freeport Rd Ste D, Sterling, IL 61081-3022 | 2013-11-05 |
| 1689880023 | Kelly W Reynolds | Speech-Language Pathologist | 12 Aviemore Drive, Pinehurst, NC 28374 | 2007-05-15 |
| 1790905453 | Kelly Reynolds | Occupational Therapist | 310 E Morganton Rd, Southern Pines, NC 28387-6524 | 2007-04-26 |
| 1477117224 | Kelly Anne Reynolds | Student in an Organized Health Care Education/Training Program | 2115 Leiter Rd, Miamisburg, OH 45342-3600 | 2019-04-26 |
| 1780034546 | Kelly Reynolds | Behavioral Analyst | 9440 Marlboro Pike, Suite 100, Upper Marlboro, MD 20772 | 2016-06-13 |
| 1881043701 | Kelly Reynolds | Occupational Therapist | 1 Emma Ln, Clifton Park, NY 12065-3763 | 2016-06-10 |
| 1548606726 | Kelly Sue Reynolds | Registered Nurse | 301 S Crapo St, Suite 200, Mount Pleasant, MI 48858-2941 | 2013-05-15 |
| 1730427071 | Kelly Marie Reynolds | Physician Assistant | 1 Guthrie Sq, Sayre, PA 18840-1625 | 2013-01-22 |
| Street Address |
515 NORTH BROADWAY SUITE 4 |
| City | RED LODGE |
| State | MT |
| Zip Code | 59068-9255 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750947941 | John Joseph Monroe | Counselor | 515 W 22nd St, Red Lodge, MT 59068 | 2019-05-14 |
| 1760977706 | Carbon County Senior Care, LLC | In Home Supportive Care | 4 Bighorn Ln., Red Lodge, MT 59068 | 2018-06-22 |
| 1174052302 | Kelsey Jo Fraser | Dentist | 515 N Broadway Ave Ste 4, Red Lodge, MT 59068 | 2017-06-10 |
| 1285085795 | Gregory Moos | Dentist | 515 Broadway Ave. North, Red Lodge, MT 59068 | 2016-06-27 |
| 1104186832 | The Willows | Assisted Living Facility | 2475 North Broadway, Red Lodge, MT 59068 | 2012-05-29 |
| 1124391776 | Bruce Robert Fishburn | Ophthalmology | 16 Lower Wapiti Valley Road, Red Lodge, MT 59068 | 2012-02-13 |
| 1235409988 | Wayne Allen Hill | Radiology | 397 Highway 78, Red Lodge, MT 59068 | 2012-01-11 |
| 1346372182 | Lynn Kathleen Zavala | Physical Therapist | 600 W 21st St, Red Lodge, MT 59068 | 2007-03-09 |
| 1073677084 | Nancy Mcgrade | Counselor | 1 N Broadway, Red Lodge, MT 59068 | 2006-12-21 |
| 1306908785 | Steven Wallace Fugere | Occupational Therapist | 600 West 21st Str., Red Lodge, MT 59068 | 2006-12-14 |
| Find all providers in zip 59068 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255462776 | David George Evans | Dentist | 24 S Oakes Avenue, Red Lodge, MT 59068-0510 | 2007-03-08 |
| 1174624795 | Richard C Gessling | Dentist | 606 S Grant St, Red Lodge, MT 59068 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073113726 | Yellowstone Denture Clinic PC | Dentist | 926 Main St Ste 23, Billings, MT 59105-3359 | 2020-10-30 |
| 1669099800 | Jaysen Williams | Dentist | 837 N Center Ave, Hardin, MT 59034-1315 | 2020-07-04 |
| 1821613308 | Stephen Blaine Sherwood | Dentist | 710 S 1st St # 1, Hamilton, MT 59840-3014 | 2020-06-10 |
| 1649818808 | Columbia Falls Family Dental Center PC | Dentist | 6360 Us Hwy 93 South, Whitefish, MT 59937 | 2019-12-18 |
| 1366004509 | Elevation Dental Butte Pllc | Dentist | 800 W Platinum St Ste 1, Butte, MT 59701-2237 | 2019-07-08 |
| 1053877068 | Alpenglow Family Dentistry Pllc | Dentist | 4265 Fallon Street Ste 2, Bozeman, MT 59718-6797 | 2019-02-14 |
| 1770005431 | Kimberly J Currie | Dentist | 202 2nd Ave S Ste 203, Great Falls, MT 59405-1831 | 2017-07-13 |
| 1518495845 | Core Dental Care | Dentist | 2700 Grand Ave Ste C, Billings, MT 59102-2682 | 2017-05-31 |
| 1316475106 | Legacy Smiles International | Dentist | 2700 Grand Ave Ste D, Billings, MT 59102-2682 | 2017-05-24 |
| 1679007090 | Billings Grand Pllc | Dentist | 918 Grand Ave, Billings, MT 59102-3302 | 2017-04-12 |
| Find all providers with the same taxonomy | ||||
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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.