Active NPI
Stewart Ross Reid, M.D.
- Anesthesiology Physician
- Dallas, TX
National Provider Identifier
1629065834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- J1024
- Practice address
- 10830 N Central Expy
Suite 330
Dallas, TX 75231-1050 - Phone
- (214) 696-3540
- Fax
- (214) 696-1230
- NPI assigned
- Oct 3, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | J1024 | TX | Primary |
Addresses
Primary practice location
10830 N Central Expy
Suite 330
Dallas, TX 75231-1050
Mailing address
10830 N Central Expy
Suite 330
Dallas, TX 75231-1050
Phone (214) 696-3540
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P000K09C0 | Medicaid | TX |
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1272931200000",
"number": "1629065834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10830 N CENTRAL EXPY",
"address_2": "SUITE 330",
"city": "DALLAS",
"state": "TX",
"postal_code": "752311050",
"telephone_number": "214-696-3540",
"fax_number": "214-696-1230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10830 N CENTRAL EXPY",
"address_2": "SUITE 330",
"city": "DALLAS",
"state": "TX",
"postal_code": "752311050",
"telephone_number": "214-696-3540",
"fax_number": "214-696-1230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REID",
"first_name": "STEWART",
"middle_name": "ROSS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-03",
"last_updated": "2010-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TX",
"license": "J1024",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "P000K09C0",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.