DR. ROBERT NICHOLAS REYNOLDS D.M.D
NPI 1790127009
Dentist - Orthodontics and Dentofacial Orthopedics in Lakeland, FL

Active since July 28, 2013PECOS Enrolled
4744 S FLORIDA AVE, LAKELAND, FL 33813(617) 824-0253 Get Directions Write a Review

NPPES record last updated: August 5, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Robert Nicholas Reynolds D.m.d NPPES

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

DR. ROBERT NICHOLAS REYNOLDS D.M.D (NPI 1790127009) is an individual orthodontics and dentofacial orthopedics provider in Lakeland, Florida, licensed in Florida (D19672) and active in the NPI registry since July 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790127009
Entity TypeIndividualMale
Primary Taxonomy1223X0400X
Provider Legal NameDR. ROBERT NICHOLAS REYNOLDSCredential: D.M.D
Location Address4744 S FLORIDA AVELakeland, FL 33813-2181
Mailing Address502 S Fremont Ave, Apt #522Tampa, FL 33606-2068 · (617) 824-0253
Sole ProprietorYes
Enumeration DateJuly 28, 2013
Last NPPES UpdateAugust 5, 2015
NPI 1790127009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in FL · D19672
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
Also ListedDentistTaxonomy 122300000X · License D19672 (FL)
4744 S FLORIDA AVE, Lakeland, FL 33813

Accepted Insurance

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. Robert Nicholas Reynolds D.m.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 33813 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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 14

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

Dentist (General Practice)
4744 S FLORIDA AVE
LAKELAND, FL 33813
Dentist
4744 S FLORIDA AVE
LAKELAND, FL 33813
Dentist
4744 S FLORIDA AVE
LAKELAND, FL 33813
Dentist (General Practice)
4744 S FLORIDA AVE
LAKELAND, FL 33813
Dentist
4744 S FLORIDA AVE
LAKELAND, FL 33813
Dentist (General Practice)
4744 S FLORIDA AVE
LAKELAND, FL 33813
Dentist (General Practice)
4744 S FLORIDA AVE
LAKELAND, FL 33813
Dentist (General Practice)
4744 S FLORIDA AVE
LAKELAND, FL 33813

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 Robert Reynolds's NPI number?

The NPI number for Robert Reynolds is 1790127009. It was assigned to this individual provider in the NPPES registry on July 28, 2013.

Where is Robert Reynolds located?

Robert Reynolds practices at 4744 S Florida Ave, Lakeland, FL 33813. The listed phone number is (617) 824-0253.

What is Robert Reynolds's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

Is Robert Reynolds enrolled in Medicare?

Yes. Robert Reynolds is registered in the Medicare PECOS enrollment system.

What insurance does Robert Reynolds accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 9 other insurers list Robert Reynolds as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Robert Reynolds was last updated on August 5, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.