Active NPI
David E Reed, D.D.S.
- Dentist
- Shreveport, LA
National Provider Identifier
1356563274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 4218
- Practice address
- 1514 Gary St
Shreveport, LA 70113-3045 - Phone
- (318) 424-1297
- Fax
- (318) 425-8904
- NPI assigned
- May 2, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 4218 | LA | Primary |
Addresses
Primary practice location
1514 Gary St
Shreveport, LA 70113-3045
Mailing address
1514 Gary St
Shreveport, LA 70113-3045
Phone (318) 424-1297
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1842184 | Medicaid | LA |
Other names 1
- Mrs. Janice E Reed
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4218 | LA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369958400000",
"number": "1356563274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1514 GARY ST",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "701133045",
"telephone_number": "318-424-1297",
"fax_number": "318-425-8904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1514 GARY ST",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "701133045",
"telephone_number": "318-424-1297",
"fax_number": "318-425-8904"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REED",
"first_name": "DAVID",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-02",
"last_updated": "2013-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "LA",
"license": "4218",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1842184",
"state": "LA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JANICE",
"last_name": "REED",
"middle_name": "E",
"prefix": "MRS.",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Shreveport, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.