DR. JACK THOMAS REYNOLDS D.D.S.
NPI 1942651880
Dentist - General Practice in Kansas City, MO

Q: What is Jack Reynolds's NPI number?

The NPI number for Jack Reynolds is 1942651880. It was assigned to this individual provider in the NPPES registry on June 22, 2016.

Q: What is Jack Reynolds's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Jack Reynolds was last updated on June 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since June 22, 2016

4100 NE VIVION RD, KANSAS CITY, MO 64119(816) 454-6443(816) 454-3145 Get Directions Write a Review

NPPES record last updated: June 22, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Jack Thomas Reynolds D.d.s. NPPES

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

DR. JACK THOMAS REYNOLDS D.D.S. (NPI 1942651880) is an individual general practice provider in Kansas City, Missouri, licensed in Missouri (2016016886) and active in the NPI registry since June 2016.

NPPES Registry Identity

NPI1942651880

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. JACK THOMAS REYNOLDSCredential: D.D.S.

Location Address4100 NE VIVION RDKansas City, MO 64119-2811

Mailing Address4100 Ne Vivion RdKansas City, MO 64119-2811 · (816) 454-6443 · Fax (816) 454-3145

Phone(816) 454-6443

Fax(816) 454-3145

Sole ProprietorYes

Enumeration DateJune 22, 2016

✔ NPI 1942651880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in MO · 2016016886

Definition

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.

4100 NE VIVION RD, Kansas City, MO 64119

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

Other Providers at the Same Location NPPES

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

ALAINA JO CALABRESE DDS

Dentist (General Practice)

4100 NE VIVION RD
KANSAS CITY, MO 64119

Clay County (816) 420-9070

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 Jack Reynolds's NPI number?

The NPI number for Jack Reynolds is 1942651880. It was assigned to this individual provider in the NPPES registry on June 22, 2016.

Where is Jack Reynolds located?

Jack Reynolds practices at 4100 NE Vivion Rd, Kansas City, MO 64119. The listed phone number is (816) 454-6443.

What is Jack Reynolds's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Jack Reynolds accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 14 other insurers list Jack 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 Jack Reynolds was last updated on June 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.