Kevin M Reid D O Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

34002459R Issued in OH

Legal business name

KEVIN M REID D O INC

Practice address

425 W Grand Ave
Suite 2001
Dayton, OH 45405-4775

Phone

(937) 226-7887

Fax

(937) 224-5098

NPI assigned

Oct 19, 2010

Organization subpart

No

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

Authorized official

Name

Kevin Michael Reid, D O

Title

President

Phone

(937) 226-7887

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1287446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289779200000",
    "number": "1225348626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 W GRAND AVE",
            "address_2": "SUITE 2001",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454054775",
            "telephone_number": "937-226-7887",
            "fax_number": "937-224-5098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 W GRAND AVE",
            "address_2": "SUITE 2001",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454054775",
            "telephone_number": "937-226-7887",
            "fax_number": "937-224-5098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN M REID D O INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-19",
        "last_updated": "2010-11-15",
        "status": "A",
        "authorized_official_last_name": "REID",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-226-7887",
        "authorized_official_credential": "D O"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "OH",
            "license": "34002459R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0396076",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1073514709",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in Dayton, OH
• Providers in Dayton, OH by specialty
• Primary Care Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2010; 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.