E. Lisa Reid DMD, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

054312 Issued in NY

Legal business name

E. LISA REID DMD, PLLC

Practice address

130 E 18TH St
Suite 1M
New York, NY 10003-2416

Phone

(347) 675-6606

Fax

(212) 614-3223

NPI assigned

May 3, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Eleanor Reid

Title

Owner

Phone

(347) 675-6606

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1462233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462233600000",
    "number": "1568817088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 FORT GREENE PL",
            "address_2": "APT 8",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112171241",
            "telephone_number": "347-675-6606",
            "fax_number": "212-614-3223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 E 18TH ST",
            "address_2": "SUITE 1M",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100032416",
            "telephone_number": "347-675-6606",
            "fax_number": "212-614-3223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E. LISA REID DMD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-03",
        "last_updated": "2016-05-03",
        "status": "A",
        "authorized_official_last_name": "REID",
        "authorized_official_first_name": "ELEANOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-675-6606",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NY",
            "license": "054312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in New York, NY
• Providers in New York, NY by specialty
• Dental Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2016; 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.