Austin Barrett Reed, DDS
Individual provider Active NPI Dentist · Peosta, IA
NPI 1790873263 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1790873263
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 08417 (IA)
- Practice address
- 8558 Kapp Dr
Peosta, IA 52068 - Phone
- (563) 557-1563
- Fax
- (563) 583-0581
- NPI assigned
- Oct 10, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08417 | IA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peosta Dental | Dentist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 08417 | IA | Yes |
Addresses
Primary practice location
8558 Kapp Dr
Peosta, IA 52068
Mailing address
PO Box 206
Peosta, IA 52068-0206
Phone (563) 557-1563
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0493965 | Medicaid | IA |
Other providers in Peosta, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.