Individual provider Active NPI

Verne Reed, D.M.D

  • Endodontics
  • Kalispell, MT
National Provider Identifier
1124160874
Registry record updated Jan 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
9614 Issued in MT
Practice address
770 W Reserve Dr Ste 1
Kalispell, MT 59901-2130
Phone
(406) 755-3636
NPI assigned
Feb 12, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 9614 MT Primary
General Practice Dentistry 1223G0001X DS037031 PA

Addresses

Primary practice location

770 W Reserve Dr Ste 1
Kalispell, MT 59901-2130

Mailing address

770 W Reserve Dr Ste 1
Kalispell, MT 59901-2130
Phone (406) 755-3636

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131007001465 IL Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 5698909638

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9614MTMDEndodontist
DS037031PAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Flathead Endodontics Endodontics Past Accepting new patients

Organizations & group practices 1

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": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547596800000",
    "number": "1124160874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 W RESERVE DR STE 1",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599012130",
            "telephone_number": "406-755-3636",
            "fax_number": "406-755-3638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 W RESERVE DR STE 1",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599012130",
            "telephone_number": "406-755-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED",
        "first_name": "VERNE",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2019-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "MT",
            "license": "9614",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS037031",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalispell, MT

Sources for this page

Verify at the official NPI Registry.