Individual provider Active NPI

Brian Reeder, DMD

  • Dentist
  • Livingston, TX
National Provider Identifier
1003077819
Registry record updated May 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
24491 Issued in TX
Practice address
117 Southpoint Loop Ste 400
Livingston, TX 77351-8899
Phone
(936) 327-9490
Fax
(936) 327-9496
NPI assigned
Jun 24, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 24491 TX Primary

Addresses

Primary practice location

117 Southpoint Loop Ste 400
Livingston, TX 77351-8899

Mailing address

3618 Shady Village Dr
Kingwood, TX 77345-3036
Phone (281) 755-4915

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jan 1, 2017 through Jan 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
24491TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Nader Kreit DDS PLLC PastSince Jan 17, 2022 Accepting new patients
Brian S Reeder, DMD PLLC Past Accepting new patients
Kreit Dental PLLC PastSince Nov 20, 2022 Accepting new patients
Littleton Family Dental Practice, PC Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1214265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369180800000",
    "number": "1003077819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3618 SHADY VILLAGE DR",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773453036",
            "telephone_number": "281-755-4915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 SOUTHPOINT LOOP STE 400",
            "city": "LIVINGSTON",
            "state": "TX",
            "postal_code": "773518899",
            "telephone_number": "936-327-9490",
            "fax_number": "936-327-9496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REEDER",
        "first_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-24",
        "last_updated": "2013-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "24491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, TX

Sources for this page

Verify at the official NPI Registry.