Individual provider Active NPI

Ryan John Reid, DMD

  • General Practice Dentistry
  • Gig Harbor, WA
National Provider Identifier
1487036901
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE60570949 Issued in WA
Practice address
2727 Hollycroft St Ste 280
Gig Harbor, WA 98335-1305
Phone
(253) 857-4114
NPI assigned
Jun 20, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DE60570949 WA
General Practice Dentistry 1223G0001X DE60570949 WA Primary

Addresses

Primary practice location

2727 Hollycroft St Ste 280
Gig Harbor, WA 98335-1305

Mailing address

2727 Hollycroft St Ste 280
Gig Harbor, WA 98335-1305
Phone (253) 857-4114

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DE60570949WAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Ryan J Reid DMD PLLC General Practice Current Accepting new patients

Locations

2727 Hollycroft St
Ste 280
Gig Harbor, WA 98335
Phone (253) 514-6076

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1434758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1487036901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 HOLLYCROFT ST STE 280",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351305",
            "telephone_number": "253-857-4114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 HOLLYCROFT ST STE 280",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351305",
            "telephone_number": "253-857-4114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REID",
        "first_name": "RYAN",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-20",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60570949",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE60570949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gig Harbor, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; 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.