Individual provider Active NPI

Lester C Reid, D.M.D.

  • Endodontics
  • Bristol, CT
National Provider Identifier
1871937359
Registry record updated Jul 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
8631 Issued in CT
Practice address
225 N Main St Ste 209
Bristol, CT 06010-4993
Phone
(860) 583-8379
Fax
(860) 589-0788
NPI assigned
Apr 26, 2013
Last updated
Jul 10, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 8631 CT Primary

Addresses

Primary practice location

225 N Main St Ste 209
Bristol, CT 06010-4993

Mailing address

225 N Main St Ste 209
Bristol, CT 06010-4993
Phone (860) 583-8379

Medicare participation

Medicare enrollment files
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 Nov 24, 2015 through Nov 24, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
8631CTMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
North Main Dental Group LLC Current Accepting new patients
Bristol Endodontics PC CurrentSince Jul 12, 2020 Accepting new patients
Care Endodontics, P.C. Endodontics Past Accepting new patients

Locations

225 N Main St
Ste 209
Bristol, CT 06010
Phone (860) 583-8379

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1366934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594339200000",
    "number": "1871937359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 N MAIN ST STE 209",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060104993",
            "telephone_number": "860-583-8379",
            "fax_number": "860-589-0788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 N MAIN ST STE 209",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060104993",
            "telephone_number": "860-583-8379",
            "fax_number": "860-589-0788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REID",
        "first_name": "LESTER",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-26",
        "last_updated": "2020-07-10",
        "certification_date": "2020-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CT",
            "license": "8631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, CT

Sources for this page

Verify at the official NPI Registry.