Individual provider Active NPI

John Robert Reed, D.M.D.

  • Dentist
  • Clarion, PA
National Provider Identifier
1356434880
Registry record updated Jan 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS024279L Issued in PA
Practice address
30 Pinnacle Dr
Clarion, PA 16214-3800
Phone
(814) 223-9906
Fax
(814) 223-9912
NPI assigned
Oct 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS024279L PA Primary

Addresses

Primary practice location

30 Pinnacle Dr
Clarion, PA 16214-3800

Mailing address

232 Beechwood Rd
New Wilmington, PA 16142-1417

Other practice location 1

2 W Crescent Park
Warren, PA 16365-2111
Phone (814) 723-2333

Other practice location 2

176 Virginia Ave
Rochester, PA 15074-1723
Phone (724) 683-3049

Other practice location 3

2807 Wilmington Rd
New Castle, PA 16105-1263
Phone (724) 656-3486

Other practice location 4

106 Derry Heights Blvd
Lewistown, PA 17044-8604
Phone (717) 248-9900

Other practice location 5

590 Indian Springs Rd
Indiana, PA 15701-3600
Phone (724) 465-6100

Other practice location 6

350 Sharon New Castle Rd
Farrell, PA 16121-1576
Phone (724) 981-1721

Other identifiers 7

IdentifierTypeStateIssuer
0009887890004MedicaidPA
0751164MedicaidOH
0009887890003MedicaidPA
0009887890009MedicaidPA
0009887890007MedicaidPA
0009887890005MedicaidPA
0009887890006MedicaidPA

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673395200000",
    "number": "1356434880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 BEECHWOOD RD",
            "city": "NEW WILMINGTON",
            "state": "PA",
            "postal_code": "161421417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 PINNACLE DR",
            "city": "CLARION",
            "state": "PA",
            "postal_code": "162143800",
            "telephone_number": "814-223-9906",
            "fax_number": "814-223-9912"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 W Crescent Park",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "PA",
            "postal_code": "163652111",
            "country_code": "US",
            "telephone_number": "814-723-2333",
            "fax_number": "814-723-2355",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "176 Virginia Ave",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "PA",
            "postal_code": "150741723",
            "country_code": "US",
            "telephone_number": "724-683-3049",
            "fax_number": "724-683-3050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2807 Wilmington Rd",
            "address_purpose": "LOCATION",
            "city": "New Castle",
            "state": "PA",
            "postal_code": "161051263",
            "country_code": "US",
            "telephone_number": "724-656-3486",
            "fax_number": "724-598-7337",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "106 Derry Heights Blvd",
            "address_purpose": "LOCATION",
            "city": "Lewistown",
            "state": "PA",
            "postal_code": "170448604",
            "country_code": "US",
            "telephone_number": "717-248-9900",
            "fax_number": "717-248-9910",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "590 Indian Springs Rd",
            "address_purpose": "LOCATION",
            "city": "Indiana",
            "state": "PA",
            "postal_code": "157013600",
            "country_code": "US",
            "telephone_number": "724-465-6100",
            "fax_number": "724-465-6110",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "350 Sharon New Castle Rd",
            "address_purpose": "LOCATION",
            "city": "Farrell",
            "state": "PA",
            "postal_code": "161211576",
            "country_code": "US",
            "telephone_number": "724-981-1721",
            "fax_number": "724-981-7025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REED",
        "first_name": "JOHN",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS024279L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009887890004",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0751164",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009887890003",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009887890009",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009887890007",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009887890005",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009887890006",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarion, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2023; 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.