DALTON RANDY REYNOLDS
NPI 1104699354
Peer Specialist in Carlsbad, NM

Active since October 31, 2023
1900 WESTRIDGE RD, CARLSBAD, NM 88220(575) 725-5552(575) 725-5552 Get Directions Write a Review

NPPES record last updated: October 31, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dalton Randy Reynolds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DALTON RANDY REYNOLDS (NPI 1104699354) is an individual peer specialist in Carlsbad, New Mexico and active in the NPI registry since October 2023.

NPPES Registry Identity

NPI1104699354
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameDALTON RANDY REYNOLDS
Location Address1900 WESTRIDGE RDCarlsbad, NM 88220-3550
Mailing AddressPo Box 3141Carlsbad, NM 88221-3141 · (575) 725-5552 · Fax (575) 725-5552
Fax(575) 725-5552
Sole ProprietorNo
Enumeration DateOctober 31, 2023
NPPES CertifiedOctober 31, 2023
NPI 1104699354 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
1900 WESTRIDGE RD, Carlsbad, NM 88220

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Community Health Worker
1900 WESTRIDGE RD
CARLSBAD, NM 88220
Peer Specialist
1900 WESTRIDGE RD
CARLSBAD, NM 88220
Peer Specialist
1900 WESTRIDGE RD
CARLSBAD, NM 88220
Counselor (Addiction (Substance Use Disorder))
1900 WESTRIDGE RD
CARLSBAD, NM 88220
Counselor (Addiction (Substance Use Disorder))
1900 WESTRIDGE RD
CARLSBAD, NM 88220
Peer Specialist
1900 WESTRIDGE RD
CARLSBAD, NM 88220
Counselor (Professional)
1900 WESTRIDGE RD
CARLSBAD, NM 88220
Social Worker (Clinical)
1900 WESTRIDGE RD
CARLSBAD, NM 88220

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dalton Reynolds's NPI number?

The NPI number for Dalton Reynolds is 1104699354. It was assigned to this individual provider in the NPPES registry on October 31, 2023.

Where is Dalton Reynolds located?

Dalton Reynolds practices at 1900 Westridge Rd, Carlsbad, NM 88220. The listed phone number is (575) 725-5552.

What is Dalton Reynolds's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Dalton Reynolds was last updated on October 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.