Robert Lane Reedy, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

14237 Issued in TX

Practice address

100 Wolfe Nursery Rd
Ste 180
Stephenville, TX 76401-3731

Phone

(254) 965-1931

NPI assigned

Sep 28, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Stephenville Dental, PLLC

  • General Practice Dentistry
  • Stephenville, TX
  • NPI 1548643786
  NPD (past)

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485129600000",
    "number": "1700978079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WOLFE NURSERY RD",
            "address_2": "STE 180",
            "city": "STEPHENVILLE",
            "state": "TX",
            "postal_code": "764013731",
            "telephone_number": "254-965-1931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WOLFE NURSERY RD",
            "address_2": "STE 180",
            "city": "STEPHENVILLE",
            "state": "TX",
            "postal_code": "764013731",
            "telephone_number": "254-965-1931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REEDY",
        "first_name": "ROBERT",
        "middle_name": "LANE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2017-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "14237",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "D14237",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Quiet Places Christian Counseling, PLLC
• Jessie R Ramirez
• Garrett Joseph Randall
• Owen Ransdell
• Carol Reed, OTR
• Ruth Reeves, MD
• Alison Lea Reynolds, LVN
• Kimberly Len Reynolds, FNP-C
• Sarah Kathryn Rickels, PTA
• Debra Lynnette Riddick, PTA

• Dentist in Stephenville, TX
• Providers in Stephenville, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2017; 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.

Verify at the official NPI Registry.