Individual provider Active NPI

Jordan Oneil Alistair Reid, DMD, CPT

  • Dentist
  • Tripler Army Medical Center, HI
National Provider Identifier
1184306482
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS044290 Issued in PA
Practice address
1 Jarrett White Rd
Tripler Army Medical Center, HI 96859-5001
Phone
(914) 318-9694
NPI assigned
Aug 4, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS044290 PA Primary

Addresses

Primary practice location

1 Jarrett White Rd
Tripler Army Medical Center, HI 96859-5001

Mailing address

1 Jarrett White Rd
Tripler Army Medical Center, HI 96859-5001
Phone (914) 318-9694

Other practice location 1

Brian D. Allgood Army Community Hospital (BDAACH)
Unit #15245; BLDG 3031
Apo, AP 96271
Phone (315) 737-9206

Other practice location 2

7101 Hoff St
Fort Moore, GA 31905-5645
Phone (706) 544-2052

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DS044290PAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1691107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1184306482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 JARRETT WHITE RD",
            "city": "TRIPLER ARMY MEDICAL CENTER",
            "state": "HI",
            "postal_code": "968595001",
            "telephone_number": "914-318-9694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 JARRETT WHITE RD",
            "city": "TRIPLER ARMY MEDICAL CENTER",
            "state": "HI",
            "postal_code": "968595001",
            "telephone_number": "914-318-9694"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Brian D. Allgood Army Community Hospital (BDAACH)",
            "address_2": "Unit #15245; BLDG 3031",
            "address_purpose": "LOCATION",
            "city": "APO",
            "state": "AP",
            "postal_code": "96271",
            "country_code": "US",
            "telephone_number": "315-737-9206",
            "country_name": "United States",
            "address_type": "MIL"
        },
        {
            "address_1": "7101 Hoff St",
            "address_purpose": "LOCATION",
            "city": "Fort Moore",
            "state": "GA",
            "postal_code": "319055645",
            "country_code": "US",
            "telephone_number": "706-544-2052",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REID",
        "first_name": "JORDAN",
        "middle_name": "ONEIL ALISTAIR",
        "name_prefix": "Dr.",
        "credential": "DMD, CPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-04",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS044290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tripler Army Medical Center, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2025; 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.