Individual provider Active NPI

Ashley Theresa Reed, DDS

  • General Practice Dentistry
  • Seymour, WI
National Provider Identifier
1952536583
Registry record updated May 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6377-15 Issued in WI
Practice address
344 E State Highway 54
Ste 1
Seymour, WI 54165-1904
Phone
(920) 833-2215
Fax
(920) 833-9940
NPI assigned
May 27, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2009

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 6377-15 WI Primary

Addresses

Primary practice location

344 E State Highway 54
Ste 1
Seymour, WI 54165-1904

Mailing address

344 E State Highway 54
Ste 1
Seymour, WI 54165-1904
Phone (920) 833-2215

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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

Enrollment IDStateProvider typePAC IDDetails
I20160218000363 WI Order and Referring Only - DentistPractitioner - Dentist 7911202650

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6377-15WIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
General Dentistry of Seymour Inc General Practice Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1243382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243382400000",
    "number": "1952536583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "344 E STATE HIGHWAY 54",
            "address_2": "STE 1",
            "city": "SEYMOUR",
            "state": "WI",
            "postal_code": "541651904",
            "telephone_number": "920-833-2215",
            "fax_number": "920-833-9940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "344 E STATE HIGHWAY 54",
            "address_2": "STE 1",
            "city": "SEYMOUR",
            "state": "WI",
            "postal_code": "541651904",
            "telephone_number": "920-833-2215",
            "fax_number": "920-833-9940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED",
        "first_name": "ASHLEY",
        "middle_name": "THERESA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-27",
        "last_updated": "2009-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "6377-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seymour, WI

Sources for this page

Verify at the official NPI Registry.