Active NPI
Dustin L. Reid, MD PA
Doing business as Restora Austin Plastic Surgery Centre
- Plastic and Reconstructive Surgery Physician
- Austin, TX
National Provider Identifier
1477675254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- M1314
- Legal business name
- DUSTIN L. REID, MD PA
- Doing business as
- Restora Austin Plastic Surgery Centre
- Practice address
- 901 W. 38TH St.,
Suite 401
Austin, TX 78705-1162 - Phone
- (512) 371-8817
- Fax
- (512) 371-8819
- NPI assigned
- Apr 4, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Dustin L Reid, MD
- Title
- Owner
- Phone
- (512) 371-8817
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | M1314 | TX | |
| Plastic and Reconstructive Surgery Physician | 2086S0122X | M1314 | TX | Primary |
Addresses
Primary practice location
901 W. 38TH St.,
Suite 401
Austin, TX 78705-1162
Mailing address
901 W. 38TH St.
Suite 401
Austin, TX 78705-1162
Phone (512) 371-8817
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093782062 | Other | TX | INDIVIDUAL NPI DR. DUSTIN |
| 176043101 | Medicaid | TX | |
| 1124048343 | Other | TX | NPI DR. ASHLEY GORDON |
Other names 1
- Restora Austin Plastic Surgery Centre
National Provider Directory
National Provider DirectoryLocations
3705 Medical Pkwy
Ste 450
Austin, TX 78705
Phone (512) 306-0061
901 W 38th St
Ste 401
Austin, TX 78705
Phone (512) 371-8817
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Austin, TX
- NPI 1144111428
-
- Family Nurse Practitioner
- Austin, TX
- NPI 1467855676
-
- Oral and Maxillofacial Pathology Dentistry
- Austin, TX
- NPI 1841439734
-
- Plastic Surgery Physician
- Austin, TX
- NPI 1124048343
-
- Family Nurse Practitioner
- Austin, TX
- NPI 1508362526
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175644800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1264377600000",
"number": "1477675254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 W. 38TH ST.",
"address_2": "SUITE 401",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787051162",
"telephone_number": "512-371-8817",
"fax_number": "512-371-8819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 W. 38TH ST.,",
"address_2": "SUITE 401",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787051162",
"telephone_number": "512-371-8817",
"fax_number": "512-371-8819"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DUSTIN L. REID, MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-04",
"last_updated": "2010-01-25",
"status": "A",
"authorized_official_last_name": "REID",
"authorized_official_first_name": "DUSTIN",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "512-371-8817",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Plastic Surgery",
"state": "TX",
"license": "M1314",
"primary": false
},
{
"code": "2086S0122X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "TX",
"license": "M1314",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI DR. DUSTIN",
"identifier": "1093782062",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "176043101",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI DR. ASHLEY GORDON",
"identifier": "1124048343",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Restora Austin Plastic Surgery Centre",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.