NPIMap

Organization Active NPI

Edward T Reidy DDS PC

  • Dental Clinic/Center
  • Santee, CA
National Provider Identifier
1568026987
Registry record updated May 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
EDWARD T REIDY DDS PC
Practice address
9280 Mast Blvd
None
Santee, CA 92071-2150
Phone
(619) 449-8530
Fax
(619) 449-8531
NPI assigned
May 1, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2019

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

Authorized official

Name
Dr. Edward T Reidy, DDSNPI 1255401956
Title
General Dentist
Phone
(619) 449-8530

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

9280 Mast Blvd
None
Santee, CA 92071-2150

Mailing address

9280 Mast Blvd
None
Santee, CA 92071-2150
Phone (619) 449-8530

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1556668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556668800000",
    "number": "1568026987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9280 MAST BLVD",
            "address_2": "NONE",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920712150",
            "telephone_number": "619-449-8530",
            "fax_number": "619-449-8531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9280 MAST BLVD",
            "address_2": "NONE",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920712150",
            "telephone_number": "619-449-8530",
            "fax_number": "619-449-8531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD T REIDY DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-01",
        "last_updated": "2019-05-01",
        "status": "A",
        "authorized_official_last_name": "REIDY",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "619-449-8530",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santee, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2019; 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.