Active NPI
Verne Reed, D.M.D
- Endodontics
- Kalispell, MT
National Provider Identifier
1124160874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 9614
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20131007001465 | IL | Order and Referring Only - Oral Surgery | 5698909638 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9614 | MT | MD | Endodontist |
| DS037031 | PA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Endodontics
- Kalispell, MT
- NPI 1225403314
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.