Atem Akwon Edwin Reed, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DD3305 Issued in NM

Practice address

7007 Wyoming Blvd NE Ste A4
Albuquerque, NM 87109-6941

Phone

(505) 821-1433

NPI assigned

Mar 25, 2008

Last updated

Oct 4, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Atemreeddds Inc

  • General Practice Dentistry
  • Albuquerque, NM
  • NPI 1467851527
  NPD (past) Authorized official
• Cherryhills Dental

  • General Practice Dentistry
  • Albuquerque, NM
  • NPI 1336449636
  NPD (past)

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

{
    "created_epoch": "1206403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633305600000",
    "number": "1164694626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7007 WYOMING BLVD NE STE A4",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871096941",
            "telephone_number": "505-821-1433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7007 WYOMING BLVD NE STE A4",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871096941",
            "telephone_number": "505-821-1433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED",
        "first_name": "ATEM",
        "middle_name": "AKWON EDWIN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-25",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "DD3305",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "56798",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1164694626",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Reece, LMT
• Lyle Reece, LMHC
• Christine Reecer, RN, IBCLC
• Kyle Jeffrey Reecer, LMHC, CRC
• Anjoli Antonia Reed, LCSW
• Chakea Reed
• Colette Lyrae Reed
• Demi Reed
• Harlena Gabrielle Reed, LISW
• Madison Faith Reed

• General Practice Dentistry in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• General Practice Dentistry in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2021; 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.