Dennis J. Reed, MD PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

33371 Issued in AZ

Legal business name

DENNIS J. REED, MD PC

Practice address

1759 E Villa Dr Ste 313
Cottonwood, AZ 86326-5997

Phone

(928) 634-2015

Fax

(928) 634-2050

NPI assigned

Sep 11, 2007

Organization subpart

No

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

Authorized official

Name

Alice Carlson

Title

Practice Manager

Phone

(928) 634-2015

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1189468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189468800000",
    "number": "1437344686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1759 E VILLA DR STE 313",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863265997",
            "telephone_number": "928-634-2015",
            "fax_number": "928-634-2050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1759 E VILLA DR STE 313",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863265997",
            "telephone_number": "928-634-2015",
            "fax_number": "928-634-2050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENNIS J. REED, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-11",
        "last_updated": "2007-09-11",
        "status": "A",
        "authorized_official_last_name": "CARLSON",
        "authorized_official_first_name": "ALICE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "928-634-2015"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AZ",
            "license": "33371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "912552",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Cottonwood, AZ
• Providers in Cottonwood, AZ by specialty
• Specialist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2007; 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.