Individual provider Active NPI

Dillon Chandler Reed, DMD

  • General Practice Dentistry
  • Williamsburg, KY
National Provider Identifier
1326530908
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10107 Issued in KY
Practice address
640 W Highway 92 Ste 3
Williamsburg, KY 40769-1936
Phone
(606) 765-6080
NPI assigned
May 31, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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 10107 KY Primary

Addresses

Primary practice location

640 W Highway 92 Ste 3
Williamsburg, KY 40769-1936

Mailing address

640 W Highway 92
Ste 3
Williamsburg, KY 40769-1936
Phone (606) 765-6080

Other practice location 1

821 S Highway 25 W
Williamsburg, KY 40769-1918
Phone (606) 549-0374

Other identifiers 3

IdentifierTypeStateIssuer
7100553680MedicaidKY
Q056354MedicaidTN
10107OtherKYSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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

Enrollment IDStateProvider typePAC IDDetails
I20220430000180 KY Practitioner - Dentist 5496142929 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dayspring Health Inc General Practice CurrentSince Jan 22, 2022 Accepting new patients
Dayspring Health Inc Current Accepting new patients
Dayspring Health, Inc. CurrentSince Jan 22, 2022 Accepting new patients

Locations

402 Cumberland Ave
Williamsburg, KY 40769
Phone (423) 784-5771

640 W Highway 92
Ste 3
Williamsburg, KY 40769
Phone (606) 549-0464

107 S Main St
Jellico, TN 37762
Phone (423) 784-8492

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1527724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1326530908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 W HIGHWAY 92",
            "address_2": "STE 3",
            "city": "WILLIAMSBURG",
            "state": "KY",
            "postal_code": "407691936",
            "telephone_number": "606-765-6080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 W HIGHWAY 92 STE 3",
            "city": "WILLIAMSBURG",
            "state": "KY",
            "postal_code": "407691936",
            "telephone_number": "606-765-6080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "821 S Highway 25 W",
            "address_purpose": "LOCATION",
            "city": "Williamsburg",
            "state": "KY",
            "postal_code": "407691918",
            "country_code": "US",
            "telephone_number": "606-549-0374",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REED",
        "first_name": "DILLON",
        "middle_name": "CHANDLER",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-31",
        "last_updated": "2023-03-07",
        "certification_date": "2022-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "10107",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100553680",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q056354",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "10107",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsburg, KY

Sources for this page

Verify at the official NPI Registry.