Active NPI
Jennifer Ann Reed, D.D.S.
- Prosthodontics
- Lincoln, NE
National Provider Identifier
1609865518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 5782
- Practice address
- 2900 S 70TH St
Suite 230
Lincoln, NE 68506-3688 - Phone
- (402) 488-5007
- Fax
- (402) 488-5033
- NPI assigned
- Oct 14, 2005
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | 5782 | NE | Primary |
Addresses
Primary practice location
2900 S 70TH St
Suite 230
Lincoln, NE 68506-3688
Mailing address
2900 S 70TH St
Suite 230
Lincoln, NE 68506-3688
Phone (402) 488-5007
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 91-179300500 | Medicaid | NE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5782 | NE | MD | Prosthodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294099200000",
"number": "1609865518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2900 S 70TH ST",
"address_2": "SUITE 230",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685063688",
"telephone_number": "402-488-5007",
"fax_number": "402-488-5033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 S 70TH ST",
"address_2": "SUITE 230",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685063688",
"telephone_number": "402-488-5007",
"fax_number": "402-488-5033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REED",
"first_name": "JENNIFER",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-10-14",
"last_updated": "2011-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "NE",
"license": "5782",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "91-179300500",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.