Kenneth Charles Reed, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30014139 Issued in OH

Practice address

61641 Ridge Ave
Cambridge, OH 43725-9445

Phone

(740) 432-7820

Fax

(740) 432-7820

NPI assigned

Aug 2, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210032000000",
    "number": "1417964487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61641 RIDGE AVE",
            "city": "CAMBRIDGE",
            "state": "OH",
            "postal_code": "437259445",
            "telephone_number": "740-432-7820",
            "fax_number": "740-432-7820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61641 RIDGE AVE",
            "city": "CAMBRIDGE",
            "state": "OH",
            "postal_code": "437259445",
            "telephone_number": "740-432-7820",
            "fax_number": "740-432-7820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED",
        "first_name": "KENNETH",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2008-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30014139",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0400882",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amjad A Rass, MD
• David W Ray, DO
• Red Carpet Health Care Center
• Red Carpet Health Care Center, Inc.
• Jennifer D Reed
• Sarah L Reed
• Andrew Douglas Reisner, PSY. D.
• Michele Lee Repasky, L.P.N.
• Gail E. Requardt, OT
• Res-Care Ohio, Inc.

• General Practice Dentistry in Cambridge, OH
• Providers in Cambridge, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2008; 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.