NPIMap

Organization Active NPI

Reid Family Dental, LLC

  • Dental Clinic/Center
  • York, SC
National Provider Identifier
1376196444
Registry record updated Sep 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
REID FAMILY DENTAL, LLC
Practice address
1306 Old Fairhope CT
York, SC 29745-9307
Phone
(864) 350-3298
NPI assigned
Jul 18, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2019

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

Authorized official

Name
Dr. Van S Reid, DMDNPI 1255853354
Title
Owner
Phone
(803) 628-1142

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1306 Old Fairhope CT
York, SC 29745-9307

Mailing address

PO Box 195
York, SC 29745-0195

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1563408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569369600000",
    "number": "1376196444",
    "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": "297459307",
            "telephone_number": "864-350-3298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REID FAMILY DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-18",
        "last_updated": "2019-09-25",
        "status": "A",
        "authorized_official_last_name": "REID",
        "authorized_official_first_name": "VAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-628-1142",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "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 Sep 25, 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.