Active NPI
David Earl Reid, D.D.S.
- General Practice Dentistry
- Martinez, GA
National Provider Identifier
1184643793
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 10608
- Practice address
- 4213 Columbia Road
Martinez, GA 30907 - Phone
- (706) 868-6177
- Fax
- (706) 868-9200
- NPI assigned
- Jul 18, 2006
- Last updated
- Jun 1, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 10608 | GA | Primary |
Addresses
Primary practice location
4213 Columbia Road
Martinez, GA 30907
Mailing address
4115 Columbia Road
Suite 5-366
Martinez, GA 30907-0410
Phone (706) 868-6177
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
| License | State | Type | Specialty |
|---|---|---|---|
| 10608 | GA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reed Creek Dental LLC | General Practice | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338508800000",
"number": "1184643793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4115 COLUMBIA ROAD",
"address_2": "SUITE 5-366",
"city": "MARTINEZ",
"state": "GA",
"postal_code": "309070410",
"telephone_number": "706-868-6177",
"fax_number": "706-868-9200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4213 COLUMBIA ROAD",
"city": "MARTINEZ",
"state": "GA",
"postal_code": "30907",
"telephone_number": "706-868-6177",
"fax_number": "706-868-9200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REID",
"first_name": "DAVID",
"middle_name": "EARL",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-18",
"last_updated": "2012-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "GA",
"license": "10608",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Martinez, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.