Active NPI
David Calvin Reed III, DDS
- General Practice Dentistry
- Westville, IN
National Provider Identifier
1588858252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 12011021A
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Westville Family Dentistry | Current | Accepting new patients | |
| Healthlinc, Inc. | Current | Accepting new patients | |
| Healthlinc, Inc. | Current | Accepting new patients | |
| Healthlinc, Inc | Current | Accepting new patients | |
| Ora NW Indiana, LLC | Past | 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.
-
- Federally Qualified Health Center (FQHC)
- Valparaiso, IN
- NPI 1528262581
-
- Dental Clinic/Center
- Westville, IN
- NPI 1568938629
-
- Federally Qualified Health Center (FQHC)
- Morocco, IN
- NPI 1568354116
-
- Federally Qualified Health Center (FQHC)
- East Chicago, IN
- NPI 1184069569
-
- Dental Clinic/Center
- Crown Point, IN
- NPI 1972119030
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.