Eleanor Lisa Reid, DMD

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

30179 Issued in IA

Practice address

17 Park Ave
New York, NY 10016-4324

Phone

(212) 213-1897

Fax

(212) 213-8497

NPI assigned

May 22, 2007

Last updated

Sep 23, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 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.

• 44 Court Street Dentists PLLC

  • Prosthodontics
  • Brooklyn, NY
  • NPI 1184445678
  NPD Authorized official
• Clinton Street Dental PLLC

  • Prosthodontics
  • Brooklyn, NY
  • NPI 1194324400
  NPD Authorized official
• Integrated Dental Design PLLC

  • Prosthodontics
  • New York, NY
  • NPI 1831754092
  NPD Authorized official

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569196800000",
    "number": "1174732341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100164324",
            "telephone_number": "212-213-1897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100164324",
            "telephone_number": "212-213-1897",
            "fax_number": "212-213-8497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REID",
        "first_name": "ELEANOR",
        "middle_name": "LISA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2019-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "IA",
            "license": "30179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.iadentistry.com",
            "affiliation": "N",
            "address_1": "17 Park Ave",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100164324",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Chelsie Reid
• Damian Phillip Reid, NP
• Debbian Venisia Reid, NP
• Donnay Reid
• Eileen Reid, FNP
• Elizabeth F. G. Reid, PH.D.
• Gail Reid, CASAC
• Garfield Reid II
• Jennifer Lauren Reid, DPT
• Keisha Reid

• Prosthodontics in New York, NY
• Providers in New York, NY by specialty
• Prosthodontics in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2019; 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.