James W Reid, D.D.S.,D.SC.D.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

4788 Issued in WA

Practice address

15419 NE 20TH St
Suite 205
Bellevue, WA 98007-3800

Phone

(425) 643-5353

Fax

(425) 643-1670

NPI assigned

Oct 17, 2006

Sex

Male

Sole proprietor

Yes

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

Enrolled in WA

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: james.reid.1@13902.direct.athenahealth.com

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942380456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15419 NE 20TH ST",
            "address_2": "SUITE 205",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980073800",
            "telephone_number": "425-643-5353",
            "fax_number": "425-643-1670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15419 NE 20TH ST",
            "address_2": "SUITE 205",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980073800",
            "telephone_number": "425-643-5353",
            "fax_number": "425-643-1670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REID",
        "first_name": "JAMES",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "D.D.S.,D.SC.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "WA",
            "license": "4788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Reichert, PA-C
• Ilse Marie Reichert, NP
• Reid Stell Counseling, PLLC
• Alison Reid, LMHC
• David Reid, RD
• Holly Reif
• Lora E Reif, PH.D.
• David George Reigel, M.D.
• Elizabeth Rose Reilly, M.D.
• Tara Christine Reimers, MD

• Endodontics in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Endodontics in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.