Van Reid, D.D.S

Primary specialty

DentistTaxonomy code 122300000X

License

DE60945290 Issued in WA

Practice address

21515 State Route 410 E Ste a
Bonney Lake, WA 98391-4100

Phone

(253) 826-9000

NPI assigned

Jun 26, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Bonney Lake Family Dentistry, PLLC

  • General Practice Dentistry
  • Bonney Lake, WA
  • NPI 1548018526
  NPD (past)
• Covington Family Dentistry, PLLC

  • General Practice Dentistry
  • Covington, WA
  • NPI 1962250936
  NPD (past)
• Ojh Clinic #6 Inc.

  • General Practice Dentistry
  • Bonney Lake, WA
  • NPI 1699820019
  NPD (past)

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

{
    "created_epoch": "1403740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771891200000",
    "number": "1972918191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21018 SPRINGHAVEN WAY E",
            "city": "BONNEY LAKE",
            "state": "WA",
            "postal_code": "983918325",
            "telephone_number": "214-926-6723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21515 STATE ROUTE 410 E STE A",
            "city": "BONNEY LAKE",
            "state": "WA",
            "postal_code": "983914100",
            "telephone_number": "253-826-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REID",
        "first_name": "VAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-26",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "30126",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60945290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Archana Madhuri Rajan, M.D
• Shona Catherine Ramsay, MS, ATC, LAT
• Courtney Dyan Randolph, ARNP
• Rediclinic of Wa, LLC
• Rehan Bashar DDS PLLC
• Tammy Lee Remick, LMP
• Renal Care Group Northwest, Inc.
• Diego Alexander Reyes, SPANISH INTERPRETER
• Lauren Komorous Rien, MOTR/L
• Brandon Roadman, DPT

• Dentist in Bonney Lake, WA
• Providers in Bonney Lake, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2026; 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.