Individual provider Active NPI

Reid Alan Stone, D.D.S.

  • General Practice Dentistry
  • Lead, SD
National Provider Identifier
1902067648
Registry record updated May 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D0823 Issued in SD
Practice address
425 W Main St
#2
Lead, SD 57754-1644
Phone
(605) 584-2983
NPI assigned
Jun 24, 2008
Last updated
May 5, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D0823 SD Primary

Addresses

Primary practice location

425 W Main St
#2
Lead, SD 57754-1644

Mailing address

82 Dunmire Dr
#2
Lead, SD 57754-1012
Phone (605) 584-2983

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160608000790 SD Order and Referring Only - Other (Non-Physician) 2567752298

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D0823SDMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Stone Northern Hills Dental General Practice Current Accepting new patients

Locations

82 Dunmire Dr
#2
Lead, SD 57754

Organizations & group practices 1

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": "1214265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462406400000",
    "number": "1902067648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 DUNMIRE DR",
            "address_2": "#2",
            "city": "LEAD",
            "state": "SD",
            "postal_code": "577541012",
            "telephone_number": "605-584-2983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 W MAIN ST",
            "address_2": "#2",
            "city": "LEAD",
            "state": "SD",
            "postal_code": "577541644",
            "telephone_number": "605-584-2983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STONE",
        "first_name": "REID",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-24",
        "last_updated": "2016-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SD",
            "license": "D0823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lead, SD

Sources for this page

Verify at the official NPI Registry.