Reid Higginbotham, MS, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11677 Issued in TN

Practice address

775 E Brookhaven Cir
Memphis, TN 38117-4501

Phone

(901) 614-4546

NPI assigned

Jul 19, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1626652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626652800000",
    "number": "1700459708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2008 QUAIL CREEK CV",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381196410",
            "telephone_number": "901-848-9465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 E BROOKHAVEN CIR",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381174501",
            "telephone_number": "901-614-4546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIGGINBOTHAM",
        "first_name": "REID",
        "name_prefix": "Dr.",
        "credential": "MS, DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-19",
        "last_updated": "2021-07-19",
        "certification_date": "2021-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "11677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Faramarz Fred Hidaji, MD
• Kade Ronan Hiestand, PHD
• Dennis A Higdon, MD
• Higginbotham Dental Group, PLLC
• Lawrence A Higginbotham, D.D.S.
• Darcel Higgins, FNP-C
• Lillian Louise Higgins, PHARMD
• Patrick Ryan Higgins, D.O.
• Kimberly Michelle Higgs, CMSW
• High Point Dental

• General Practice Dentistry in Memphis, TN
• Providers in Memphis, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.