Kelsey Reed, RDH

Primary specialty

DentistTaxonomy code 122300000X

License

1223G0001X Issued in OR

Practice address

21300 Highway 62 Ste 100
Shady Cove, OR 97539-7707

Phone

(541) 878-2115

NPI assigned

Jun 29, 2016

Last updated

Jun 29, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1467158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467158400000",
    "number": "1396196473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6413 HARLAN DR",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976037744",
            "telephone_number": "541-274-9375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21300 HIGHWAY 62 STE 100",
            "city": "SHADY COVE",
            "state": "OR",
            "postal_code": "975397707",
            "telephone_number": "541-878-2115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED",
        "first_name": "KELSEY",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-29",
        "last_updated": "2016-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "1223G0001X",
            "primary": true
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "OR",
            "license": "124Q00000X",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mending Waters Counseling LLC
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• Luke B Murphy, DMD
• Optimal Behavioral Health
• Ryan Stuart Price, MA, LPC
• Rogue Community Health
• Shady Cove Chiropractic and Massage, LLC
• Shady Cove Chiropractic, LLC
• Shady Cove Family Dentistry
• Sisters of Providence in Oregon (PMG South Shady Cove)

• Dentist in Shady Cove, OR
• Providers in Shady Cove, OR by specialty
• Dentist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2016; 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.