Reid Selim Elattrache, DMD

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

DS026930L Issued in PA

Practice address

250 Oak Spring Rd
Washington, PA 15301-2844

Phone

(724) 228-6624

Fax

(724) 228-8336

NPI assigned

Jan 22, 2007

Last updated

Jul 11, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Reid Elattrache DMD PC

  • Endodontics
  • Washington, PA
  • NPI 1730921339
  Authorized official Same address or phone

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1255485942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "173 SPRINGDALE RD",
            "city": "VENETIA",
            "state": "PA",
            "postal_code": "153671324",
            "telephone_number": "724-942-3133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 OAK SPRING RD",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153012844",
            "telephone_number": "724-228-6624",
            "fax_number": "724-228-8336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELATTRACHE",
        "first_name": "REID",
        "middle_name": "SELIM",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "PA",
            "license": "DS026930L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arthur Cameron Earl III, LPC
• Echo Treatment Center, LLC (MedMark Treatment Centers Washington)
• Dominique C Eckley
• Edward J. Roman D.D.S P.C
• Elizabeth Linn Effenberger, CRNP
• Holly Elias, R.N.
• Elizabeth L Wakim DDS LLC
• Jacqueline Nicole Ely, R.D., L.D.N
• Cheryld Emala, MSW, LCSW
• Emergency Care Physicians of Washington LLC

• Endodontics in Washington, PA
• Providers in Washington, PA by specialty
• Endodontics in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.