Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Shannon Richard Reed, PEDORTHIST

Individual provider Specialist · NPI 1962724575

Mr. Shannon Richard Reed, PEDORTHIST is a Specialist in Sacramento, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2010
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Practice location Address checks out

719 56th St
Sacramento, CA 95819-3306
Phone: (916) 457-2726
Fax: (916) 457-2728
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence CPED3329 (CA)

Record details

NPI number1962724575
Entity typeIndividual (Type 1)
GenderMale
Credentials PEDORTHIST
Sole proprietorYes
NPI enumeratedFebruary 23, 2010
Last updated in NPPESMay 21, 2010

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