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Export Provider Record NPI 1124106182
Johnny ReidDMD
Active
NPI Number1124106182
NPI TypeNPI-1 Individual
SpecialtyDentist, General Practice
Provider Details
NPI1124106182
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2006-11-01
Last Updated2007-07-08
Mailing AddressPo Box 29452
Richmond, VA 23242-0452
United States
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Primary Practice Address4722 N Southside Plaza St # 24
Richmond, VA 23224-1742
United States
Phone: (804) 230-4758
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Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes1223G0001X – Dentist, General PracticeVA0401008226
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About NPI 1124106182

Johnny Reid DMD is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1124106182. The primary specialty listed is Dentist, General Practice. The provider is located in Richmond, VA. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-11-01. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1124106182?

NPI 1124106182 belongs to Johnny Reid DMD, a Dentist, General Practice in Richmond, VA. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1124106182 active?

The current status of NPI 1124106182 in the NPPES registry is Active. The record was last updated on 2007-07-08.

What specialty is NPI 1124106182?

NPI 1124106182 is classified under the taxonomy Dentist, General Practice. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1124106182?

You can verify NPI 1124106182 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1124106182?

The primary practice address on file for NPI 1124106182 is 4722 N Southside Plaza St # 24, Richmond, VA 23224-1742. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1124106182 issued?

NPI 1124106182 was first issued (enumerated) on 2006-11-01. The NPPES record was last updated on 2007-07-08.

Practice Location Map

Johnny Reid is located at 4722 N Southside Plaza St # 24, Richmond, VA. Use the map below to find directions or verify the practice location.

📍 4722 N Southside Plaza St # 24, Richmond, VA 23224-1742  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Johnny Reid. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1124106182. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Dentist, General Practice0401008226VA
Data Verified from CMS NPPES Last synced: 2026-06-29 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162