Stephen Andrew Reid, D.D.S.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

D22176 Issued in CA

Practice address

1844 San Miguel Dr
Suite # 309
Walnut Creek, CA 94596-4962

Phone

(925) 938-5633

Fax

(925) 938-5201

NPI assigned

Jan 30, 2007

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Justin Braga DDS Ms Inc

  • Periodontics
  • Walnut Creek, CA
  • NPI 1235488040
  NPD (past)
• Kourosh Harandi Dental Practice

  • Periodontics
  • Walnut Creek, CA
  • NPI 1720490121
  NPD (past)

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295872299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1844 SAN MIGUEL DR",
            "address_2": "SUITE # 309",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945964962",
            "telephone_number": "925-938-5633",
            "fax_number": "925-938-5201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1844 SAN MIGUEL DR",
            "address_2": "SUITE # 309",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945964962",
            "telephone_number": "925-938-5633",
            "fax_number": "925-938-5201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REID",
        "first_name": "STEPHEN",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "D22176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Regional Diagnostic Imaging
• Patricia L. Rehfield, DO
• Michael Sheriar Rehl, D.C.
• Naima Rehman, M.D.
• Rebekkah Jo Reichert, DPT
• Gillian Reierson, M.D. PH.D.
• Martin Reimer
• Cynthia Reinbach, MS
• Ceasar Sedeno Relevante, P.A.
• Remarkable Marriage and Family Institute

• Periodontics in Walnut Creek, CA
• Providers in Walnut Creek, CA by specialty
• Periodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.