Teresa G Reder, D.D.S,

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

#46423 Issued in CA

Practice address

4740 Inglewood Blvd
Culver City, CA 90230-5824

Phone

(310) 313-1063

NPI assigned

May 3, 2007

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327276800000",
    "number": "1962624759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4740 INGLEWOOD BLVD",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902305824",
            "telephone_number": "310-313-1063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4740 INGLEWOOD BLVD",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902305824",
            "telephone_number": "310-313-1063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDER",
        "first_name": "TERESA",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "D.D.S,",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2012-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "#46423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Ayanna Recinos
• Jocelyne Recinos
• Rachel Lynn Recore, WHNP
• Recovery Marriage and Family Counseling Inc
• Anita D Red, MD
• Carmen E Reed
• Damon Reed
• Danyell Marie Reed
• Latesha Tiffany Reed, NP
• Tanoka Reed

• General Practice Dentistry in Culver City, CA
• Providers in Culver City, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.