Organization 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
Registry record updated Jan 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
M1314 Issued in TX
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

Updated by the provider on Jan 25, 2010

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)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208200000X M1314 TX
Plastic and Reconstructive Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1093782062OtherTXINDIVIDUAL NPI DR. DUSTIN
176043101MedicaidTX
1124048343OtherTXNPI DR. ASHLEY GORDON

Other names 1

  • Restora Austin Plastic Surgery Centre Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.