Charles Richard Reed IV, D.D.S.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

30. 021996 Issued in OH

Practice address

86 Hidden Ravines Dr
Powell, OH 43065-8736

Phone

(740) 548-9912

Fax

(740) 548-9918

NPI assigned

May 17, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: crreed@direct.kictribe.org

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.

• Ketchikan Indian Corporation

  • Primary Care Clinic/Center
  • Ketchikan, AK
  • NPI 1821120486
  NPD

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053528174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1453 WREN LN",
            "city": "POWELL",
            "state": "OH",
            "postal_code": "430658954",
            "telephone_number": "614-781-1802",
            "fax_number": "740-548-9918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 HIDDEN RAVINES DR",
            "city": "POWELL",
            "state": "OH",
            "postal_code": "430658736",
            "telephone_number": "740-548-9912",
            "fax_number": "740-548-9918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED",
        "first_name": "CHARLES",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "OH",
            "license": "30. 021996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Rayburn Reagan, LCSW-S, LISW-S
• Paige Ashley Reckner, OTR/L
• Red Star Security LLC
• Stephanie Reda, LMT
• Anna Redmond
• Donna Jean Reed
• Norman Edward Reed
• Toni Lynn Reed, O.D.
• Regen Medical, Inc.
• Victoriya Reich, LISW-S

• Orthodontics and Dentofacial Orthopedics Dentistry in Powell, OH
• Providers in Powell, OH by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.