NPIMap

Organization Active NPI

Dr. Shirley Reid, DDS

  • General Practice Dentistry
  • Little Rock, AR
National Provider Identifier
1184091084
Registry record updated Aug 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2289 Issued in AR
Legal business name
DR. SHIRLEY REID, DDS
Practice address
805 N Palm St
Little Rock, AR 72205-1946
Phone
(501) 664-1230
Fax
(501) 663-6307
NPI assigned
Aug 26, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2015

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

Authorized official

Name
Dr. Shirley W Reid, D.D.S.
Title
Dentist/Owner
Phone
(501) 664-1230

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 2289 AR Primary

Addresses

Primary practice location

805 N Palm St
Little Rock, AR 72205-1946

Mailing address

805 N Palm St
Little Rock, AR 72205-1946
Phone (501) 664-1230

National Provider Directory

National Provider Directory

Locations

805 N Palm St
Little Rock, AR 72205
Phone (501) 663-6306

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1440547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440547200000",
    "number": "1184091084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 N PALM ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722051946",
            "telephone_number": "501-664-1230",
            "fax_number": "501-663-6307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 N PALM ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722051946",
            "telephone_number": "501-664-1230",
            "fax_number": "501-663-6307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. SHIRLEY REID, DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-26",
        "last_updated": "2015-08-26",
        "status": "A",
        "authorized_official_last_name": "REID",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "501-664-1230",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "2289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2015; 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.