Robert Reynolds, D.M.D
Robert Reynolds, D.M.D is a provider specialising in Orthodontics and Dentofacial Orthopedics Dentistry in Lakeland, FL, registered under NPI 1790127009. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.
Getting there
The practice address on file is 4744 S FLORIDA AVE, Lakeland, FL 33813. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| D19672 | FL | Orthodontics and Dentofacial Orthopedics… primary |
| D19672 | FL | Dentist |
This provider holds licence D19672 issued in FL. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Order And Referring Only - Oral Surgery
- PAC ID
- 4183929185
- Enrollment ID
- I20160301000813
Medicare enrolment is recorded as approved under the provider type Order And Referring Only - Oral Surgery. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Orthodontics and Dentofacial Orthopedics covers
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. NUCC Health Care Provider Taxonomy, code 1223X0400X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 1223X0400X | Orthodontics and Dentofacial Orthopedics Dentistry Orthodontics and Dentofacial Orthopedics | D19672 | FL | primary |
| 122300000X | Dentist | D19672 | FL |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1790127009 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Jul 28, 2013 |
| Last updated | Aug 5, 2015 |
| Status | Active |
| Sole proprietor | Yes |
| Credential | D.M.D |
| Practice address |
4744 S FLORIDA AVE Lakeland, FL 33813 (617) 824-0253 |
| Mailing address |
502 S FREMONT AVE APT #522 Tampa, FL 33606 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 7 | 9 | 0 | 1 | 2 | 7 | 0 | 0 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 7 | 9 | 0 | 2 | 2 | 5 | 0 | 0 |
Sum = 51 · next multiple of 10 = 60 · check digit = 9 · actual last digit = 9
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.