Joseph Kenneth Reid, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

2001014860 Issued in MO

Practice address

150 Weiss Rd Ste 100
Cottleville, MO 63376-0045

Phone

(636) 477-0770

Fax

(636) 477-8115

NPI assigned

Mar 26, 2007

Last updated

Jun 24, 2022By the provider in NPPES

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

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.

Opted out of Medicare

Yes, effective Feb 1, 2016 through Feb 1, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• David Guilbeault DMD Florissant Dental Group LLC

  dba Florissant Dental Group

  • General Practice Dentistry
  • Florissant, MO
  • NPI 1063804789
  NPD (past)
• WM J Miller DMD PC

  • Dentist
  • Florissant, MO
  • NPI 1639237274
  NPD (past)

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656028800000",
    "number": "1750409132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 WEISS RD STE 100",
            "city": "COTTLEVILLE",
            "state": "MO",
            "postal_code": "633760045",
            "telephone_number": "636-477-0770",
            "fax_number": "636-477-8115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 WEISS RD STE 100",
            "city": "COTTLEVILLE",
            "state": "MO",
            "postal_code": "633760045",
            "telephone_number": "636-477-0770",
            "fax_number": "636-477-8115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REID",
        "first_name": "JOSEPH",
        "middle_name": "KENNETH",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2022-06-24",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2001014860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret M. Mueller, M.D.
• Neelima Nalluri
• Katherine Ellen Pavia, APRN-C
• Lindsey Powell, RBT
• Ellen Ray
• David Sanford II
• Joshua Daniel Schnurbusch, RBT
• Katherine M. Shiue, M.D.
• Mariela Showalter
• Kimberly Sieli, M.D.

• Dentist in Cottleville, MO
• Providers in Cottleville, MO by specialty
• Dentist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2022; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.