MR. DAN DAWAYNE REYNOLDS (NPI# 1396983581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396983581 |
| Entity Type | Individual |
| Full Name | MR. DAN DAWAYNE REYNOLDS |
| Credential | R. EEG T. , CNIM |
| Practice Address |
10207 Charles St Osceola IN 46561-8922 |
| Mailing Address |
460 Goddard Irvine CA 92618-4610 |
| Practice Telephone | 2174944243 |
| Practice Fax Number | 5749686448 |
| Mailing Telephone | 2174944243 |
| Mailing Fax Number | 9493365113 |
| Enumeration Date | 2009-01-27 |
| Last Update Date | 2013-11-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 246ZE0600X |
Specialist/Technologist, Other Specialization: Electroneurodiagnostic |
1000 | IL | Technologists, Technicians & Other Technical Service Providers |
| Y | 2472E0500X |
Technician, Other Specialization: EEG |
CA | Technologists, Technicians & Other Technical Service Providers | |
| N | 2472E0500X |
Technician, Other Specialization: EEG |
3901 | IL | Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447663299 | Dan Reynolds | Case Manager/Care Coordinator | 117 W. Tunnel Street, Santa Maria, CA 93458 | 2014-06-10 |
| Street Address |
10207 CHARLES ST |
| City | OSCEOLA |
| State | IN |
| Zip Code | 46561-8922 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710535166 | Mary Agnes Dutoi | Technician | 54408 Venita Court, Osceola, IN 46561 | 2019-08-29 |
| 1881816007 | Dental Professionals of Indiana, P.C. | Dentist | 103 Osceola Ave, Osceola, IN 46561 | 2007-05-03 |
| 1922085315 | Donald Paul Warren | Chiropractor | 5432 Lincolnway East, Osceola, IN 46561 | 2005-12-27 |
| 1134414329 | Aixsa Perez M D P C | Family Medicine | 1712 Lincolnway W, Suite A, Osceola, IN 46561-1933 | 2011-06-15 |
| 1669769915 | Frances Dwyer, Md | Pediatrics | 1712 Lincolnway W, Suite A, Osceola, IN 46561-1933 | 2011-07-07 |
| 1639171853 | Aixsa Perez | Family Medicine | 1712 Lincoln Way W Ste A, Osceola, IN 46561-1939 | 2005-06-01 |
| 1477733582 | Spinalign PC | Chiropractor | 5432 Lincoln Way E, Osceola, IN 46561-1960 | 2007-11-06 |
| 1699885723 | John Douglas Busch | Chiropractor | 5432 Lincolnway E, Osceola, IN 46561-1960 | 2006-08-30 |
| 1164948543 | Zac Williams | Chiropractor | 5432 Lincolnway E, Osceola, IN 46561-1960 | 2017-08-17 |
| 1922485440 | 3d Scoliosis Brace, LLC | Durable Medical Equipment & Medical Supplies | 5432 Lincolnway E, Osceola, IN 46561-1960 | 2015-05-05 |
| Find all providers in zip 46561 | ||||
| Taxonomy Code | 2472E0500X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Other |
| Specialization | EEG |
| Definition to come... |
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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.