Individual provider Active NPI

Danielle K Reed

  • General Practice Dentistry
  • Alvin, TX
National Provider Identifier
1154598407
Registry record updated Mar 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
21495 Issued in TX
Practice address
1591 E Highway 6
Suite 109
Alvin, TX 77511-6045
Phone
(281) 824-3043
Fax
(281) 605-5578
NPI assigned
May 14, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 21495 TX Primary

Addresses

Primary practice location

1591 E Highway 6
Suite 109
Alvin, TX 77511-6045

Mailing address

1591 E Highway 6
Suite 109
Alvin, TX 77511-6045
Phone (281) 824-3043

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20151027000332 TX Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 6800105206

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
21495TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Smile Avenue Family Dental 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": "1210723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268956800000",
    "number": "1154598407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1591 E HIGHWAY 6",
            "address_2": "SUITE 109",
            "city": "ALVIN",
            "state": "TX",
            "postal_code": "775116045",
            "telephone_number": "281-824-3043",
            "fax_number": "281-605-5578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1591 E HIGHWAY 6",
            "address_2": "SUITE 109",
            "city": "ALVIN",
            "state": "TX",
            "postal_code": "775116045",
            "telephone_number": "281-824-3043",
            "fax_number": "281-605-5578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED",
        "first_name": "DANIELLE",
        "middle_name": "K",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-14",
        "last_updated": "2010-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "21495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alvin, TX

Sources for this page

Verify at the official NPI Registry.