Active NPI
K Joe Reid, MD
- Diagnostic Radiology Physician
- Phoenix, AZ
National Provider Identifier
1942299086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 13223
- Practice address
- 2323 W Rose Garden LN
Phoenix, AZ 85027-2530 - Phone
- (623) 931-7999
- Fax
- (623) 842-5640
- NPI assigned
- Oct 20, 2005
- Last updated
- Feb 16, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 13223 | AZ | Primary |
Addresses
Primary practice location
2323 W Rose Garden LN
Phoenix, AZ 85027-2530
Mailing address
2323 W Rose Garden LN
Phoenix, AZ 85027-2530
Phone (623) 931-7999
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 244161 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266278400000",
"number": "1942299086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2323 W ROSE GARDEN LN",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850272530",
"telephone_number": "623-931-7999",
"fax_number": "623-842-5640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2323 W ROSE GARDEN LN",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850272530",
"telephone_number": "623-931-7999",
"fax_number": "623-842-5640"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REID",
"first_name": "K",
"middle_name": "JOE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-20",
"last_updated": "2010-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "AZ",
"license": "13223",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "244161",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.