Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. REYNOLD DREW DONOVAN D.D.S.
NPI 1154495653
Dentist in Port Angeles, WA

Q: What is Reynold Donovan's NPI number?

The NPI number for Reynold Donovan is 1154495653. It was assigned to this individual provider in the NPPES registry on November 17, 2006.

Q: What is Reynold Donovan's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Reynold Donovan was last updated on July 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 days 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.

Active since November 17, 2006PECOS Enrolled

933 E 1ST ST, PORT ANGELES, WA 98362(360) 452-7891(360) 452-8087 Get Directions Write a Review

NPPES record last updated: July 14, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 14, 2026, Feb 3, 2025, Feb 17, 2023 and 2 more (5 updates tracked since 2020).

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About Dr. Reynold Drew Donovan D.d.s. NPPES

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

DR. REYNOLD DREW DONOVAN D.D.S. (NPI 1154495653) is an individual dentist in Port Angeles, Washington, licensed in Washington (DE60986364) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Port Angeles, and is a graduate of University Of California, Irvine, California College Of Medicine (1989).

NPPES Registry Identity

NPI1154495653

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. REYNOLD DREW DONOVANCredential: D.D.S.

Location Address933 E 1ST STPort Angeles, WA 98362-4012

Mailing Address240 W Front St Ste APort Angeles, WA 98362-2609 · (360) 452-7891 · Fax (360) 452-8087

Phone(360) 452-7891

Fax(360) 452-8087

Sole ProprietorNo

Medical School CMSUniversity Of California, Irvine, California College Of MedicineGraduated 1989

Enumeration DateNovember 17, 2006

Last NPPES UpdateJuly 14, 20265 updates tracked since enumeration

NPPES CertifiedJuly 14, 2026

✔ NPI 1154495653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in WA · DE60986364

Definition

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.

Also ListedDentist · General PracticeTaxonomy 1223G0001X · License DE60986364 (WA), 37412 (CA)

933 E 1ST ST, Port Angeles, WA 98362

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Secondary Practice Location 1

Location 1228 W 1st StPort Angeles, WA 98362-2639 · Phone (360) 406-5260 · Fax (360) 406-5275

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Reynold Drew Donovan D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6608376702

PECOS Enrollment IDI20250822003887

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98362 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$71.29 typical visit price

range $18.56 – $141.11

Typical copayment $17.82 (range $4.64 – $35.27)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

CONSTANCE ANN KELLY

Dental Hygienist