MR. SHANNON RICHARD REED PEDORTHIST
NPI 1962724575
Specialist in Sacramento, CA

Active since February 23, 2010
719 56TH ST, SACRAMENTO, CA 95819(916) 457-2726(916) 457-2728 Get Directions Write a Review

NPPES record last updated: May 21, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Male
  • Specialist

About SHANNON REED

This page provides the complete NPI Profile along with additional information for Shannon Reed, a provider established in Sacramento, California with a medical specialization in Specialist. The healthcare provider is registered in the NPI registry with number 1962724575 assigned on February 2010. The practitioner's primary taxonomy code is 174400000X with license number CPED3329 (CA). The provider is registered as an individual and his NPI record was last updated 16 years ago.

NPI
1962724575 Verify this NPI
Provider Name
MR. SHANNON RICHARD REED PEDORTHIST
Gender
Male
Entity Type
Individual
Location Address
719 56TH ST SACRAMENTO, CA 95819
Location Phone
(916) 457-2726
Location Fax
(916) 457-2728
Mailing Address
719 56TH ST SACRAMENTO, CA 95819
Mailing Phone
(916) 457-2726
Mailing Fax
(916) 457-2728
Is Sole Proprietor?
Yes
Enumeration Date
02-23-2010
Last Update Date
05-21-2010
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
License No.
CPED3329
License State
CA
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962724575, enumerated as an "individual" on February 23, 2010.

The provider is located at 719 56TH ST SACRAMENTO, CA 95819 and the phone number is (916) 457-2726.

Specialist with taxonomy code 174400000X.