Healthcare Provider Details

I. General information

NPI: 1760494900
Provider Name (Legal Business Name): DANIEL W REYNOLDS DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/13/2006
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 SW 10TH AVE
TOPEKA KS
66604-1301
US

IV. Provider business mailing address

1500 SW 10TH AVE
TOPEKA KS
66604-1301
US

V. Phone/Fax

Practice location:
  • Phone: 785-354-5242
  • Fax: 785-354-6349
Mailing address:
  • Phone: 785-354-5242
  • Fax: 785-354-6349

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number05-30785
License Number StateKS
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number05-30785
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: