Individual provider Active NPI

Evan J Reed, D.D.S.

  • Dentist
  • Frontenac, MO
National Provider Identifier
1508028036
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2008015941 Issued in MO
Practice address
10401 Clayton Rd Ste 150
Frontenac, MO 63131-2909
Phone
(314) 960-2198
NPI assigned
Jun 26, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2008015941 MO Primary

Addresses

Primary practice location

10401 Clayton Rd Ste 150
Frontenac, MO 63131-2909

Mailing address

10401 Clayton Rd Ste 150
Frontenac, MO 63131-2909
Phone (314) 960-2198

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Nov 8, 2018 through Nov 8, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2008015941MOMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Frontenac Pediatric Dentistry of St. Louis Current Accepting new patients
Seton Center Family and Health Services Past Accepting new patients

Locations

10401 Clayton Rd
Ste 150
Saint Louis, MO 63131
Phone (314) 960-2198

Organizations & group practices 2

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": "1214438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1508028036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10401 CLAYTON RD STE 150",
            "city": "FRONTENAC",
            "state": "MO",
            "postal_code": "631312909",
            "telephone_number": "314-960-2198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10401 CLAYTON RD STE 150",
            "city": "FRONTENAC",
            "state": "MO",
            "postal_code": "631312909",
            "telephone_number": "314-960-2198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED",
        "first_name": "EVAN",
        "middle_name": "J",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-26",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2008015941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frontenac, MO

Sources for this page

Verify at the official NPI Registry.