Chad Monroe Reid, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5958 Issued in OK

Practice address

29933 E State Highway 51
Coweta, OK 74429-7684

Phone

(918) 279-7100

Fax

(918) 279-6430

NPI assigned

Jul 19, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Premier Dental

  • General Practice Dentistry
  • Coweta, OK
  • NPI 1881844439
  NPD (past) Authorized official

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360800000000",
    "number": "1427258342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29933 E HWY 51",
            "city": "COWETA",
            "state": "OK",
            "postal_code": "74429",
            "telephone_number": "918-279-7100",
            "fax_number": "918-279-6430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29933 E STATE HIGHWAY 51",
            "city": "COWETA",
            "state": "OK",
            "postal_code": "744297684",
            "telephone_number": "918-279-7100",
            "fax_number": "918-279-6430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REID",
        "first_name": "CHAD",
        "middle_name": "MONROE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-19",
        "last_updated": "2013-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "5958",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200210270A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200201780A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Anne Petersen, M.D.
• Kasey Pierce, PHARMD
• Dejuan Powell
• Premier Dental
• Redbud Physical Therapy LLC
• Heather A Reisinger
• Sabra Rhodes, DC
• Deralin Dawn Ritter, LADC-MH
• Jacob Roberts
• William Rogers

• General Practice Dentistry in Coweta, OK
• Providers in Coweta, OK by specialty
• General Practice Dentistry in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.

Verify at the official NPI Registry.