Individual provider Active NPI

David Calvin Reed III, DDS

  • General Practice Dentistry
  • Westville, IN
National Provider Identifier
1588858252
Registry record updated Dec 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12011021A Issued in IN
Practice address
444 N Flynn Rd
Westville, IN 46391-9647
Phone
(219) 785-4609
Fax
(219) 785-4600
NPI assigned
Sep 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 12011021A IN Primary

Addresses

Primary practice location

444 N Flynn Rd
Westville, IN 46391-9647

Mailing address

444 N Flynn Rd
Westville, IN 46391-9647
Phone (219) 785-4609

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170103000772 IN Practitioner - Oral Surgery 3577844612 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Westville Family Dentistry CurrentSince Dec 13, 2020 Accepting new patients
Healthlinc, Inc. Current Accepting new patients
Healthlinc, Inc. CurrentSince Nov 27, 2016 Accepting new patients
Healthlinc, Inc CurrentSince Nov 27, 2016 Accepting new patients
Ora NW Indiana, LLC PastSince Sep 27, 2020 Accepting new patients

Locations

1313 W Chicago Ave
East Chicago, IN 46312
Phone (219) 397-1196

1001 Sturdy Rd
Valparaiso, IN 46383
Phone (219) 462-7173

2401 Valley Dr
Valparaiso, IN 46383
Phone (219) 413-5100

444 N Flynn Rd
Westville, IN 46391
Phone (219) 613-7828

Organizations & group practices 5

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": "1188950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607644800000",
    "number": "1588858252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 N FLYNN RD",
            "city": "WESTVILLE",
            "state": "IN",
            "postal_code": "463919647",
            "telephone_number": "219-785-4609",
            "fax_number": "219-785-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 N FLYNN RD",
            "city": "WESTVILLE",
            "state": "IN",
            "postal_code": "463919647",
            "telephone_number": "219-785-4609",
            "fax_number": "219-785-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED",
        "first_name": "DAVID",
        "middle_name": "CALVIN",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-05",
        "last_updated": "2020-12-11",
        "certification_date": "2020-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12011021A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westville, IN

Sources for this page

Verify at the official NPI Registry.