Active NPI
Robert C Reid, D.D.S.
- Dentist
- Valrico, FL
National Provider Identifier
1699017384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN12048
- Practice address
- 4337 Lynx Paw TRL
Valrico, FL 33596-7426 - Phone
- (813) 654-4223
- NPI assigned
- Mar 21, 2013
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | DN12048 | FL | Primary |
Addresses
Primary practice location
4337 Lynx Paw TRL
Valrico, FL 33596-7426
Mailing address
4337 Lynx Paw TRL
Valrico, FL 33596-7426
Phone (813) 654-4223
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 |
|---|---|---|---|
| DN12048 | FL | MD | Dentist |
Practice roles (1 of 2)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riverhills Dental PLLC | Dentist | Past | Accepting new patients |
Networks
- Freedom Health HMO Network
Organizations & group practices 1
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.
-
- Dentist
- Valrico, FL
- NPI 1558067959
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363824000000",
"number": "1699017384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4337 LYNX PAW TRL",
"city": "VALRICO",
"state": "FL",
"postal_code": "335967426",
"telephone_number": "813-654-4223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4337 LYNX PAW TRL",
"city": "VALRICO",
"state": "FL",
"postal_code": "335967426",
"telephone_number": "813-654-4223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REID",
"first_name": "ROBERT",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-03-21",
"last_updated": "2013-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN12048",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Valrico, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.