Keith Brooks Reid

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901602578 Issued in MI

Practice address

31215 Five Mile Rd
Livonia, MI 48154-3627

Phone

(734) 425-1070

NPI assigned

Jun 17, 2025

Sex

Male

Sole proprietor

No

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

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

{
    "created_epoch": "1750118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750118400000",
    "number": "1093601957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "467 LAUREL LN",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481874592",
            "telephone_number": "313-349-9031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31215 FIVE MILE RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481543627",
            "telephone_number": "734-425-1070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REID",
        "first_name": "KEITH",
        "middle_name": "BROOKS",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-17",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901602578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chester John Regula Jr., DMD
• Rehabcare Connect PLLC
• Rehabx Physical Therapy LLC
• Rebecca Ann Rehberg, NP
• Courtney Rehbine, MA, LLPC
• Megan Lynn Reid, DPT
• Patrick James Reid, M.S.
• Lauren Reinaldo
• Olivia Marie Reindl
• Reliable Covid Testing

• General Practice Dentistry in Livonia, MI
• Providers in Livonia, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2025; 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.