Individual provider Active NPI

Van Scott Reid, DMD

  • General Practice Dentistry
  • York, SC
National Provider Identifier
1255853354
Registry record updated Aug 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8970 Issued in SC
Practice address
1306 Old Fairhope CT
York, SC 29745
Phone
(803) 628-1142
NPI assigned
Jul 10, 2017
Last updated
Aug 4, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 8970 SC Primary

Addresses

Primary practice location

1306 Old Fairhope CT
York, SC 29745

Mailing address

PO Box 195
York, SC 29745-0195

Other practice location 1

15680 Wells Hwy
Seneca, SC 29678-1151
Phone (864) 885-9585

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
8970SCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Reid Family Dental, LLC CurrentSince Aug 11, 2019 Accepting new patients

Locations

1306 Old Fairhope Ct
York, SC 29745
Phone (803) 628-1142

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": "1499644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564876800000",
    "number": "1255853354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 195",
            "city": "YORK",
            "state": "SC",
            "postal_code": "297450195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 OLD FAIRHOPE CT",
            "city": "YORK",
            "state": "SC",
            "postal_code": "29745",
            "telephone_number": "803-628-1142"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15680 Wells Hwy",
            "address_purpose": "LOCATION",
            "city": "Seneca",
            "state": "SC",
            "postal_code": "296781151",
            "country_code": "US",
            "telephone_number": "864-885-9585",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REID",
        "first_name": "VAN",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-10",
        "last_updated": "2019-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "8970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in York, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2019; 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.