Jade Matthew Reynolds, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

08002103A Issued in IN

Practice address

430 Wind Ridge TRL
Berne, IN 46711-2375

Phone

(260) 589-3256

Fax

(260) 589-3587

NPI assigned

May 3, 2006

Sex

Male

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

Enrolled in IN

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Reynolds Chiropractic LLC

  • Chiropractor
  • Berne, IN
  • NPI 1477715373
  Medicare reassignment NPD Authorized official
• Grote Chiropractic PC

  • Independent Medical Examiner Chiropractor
  • Decatur, IN
  • NPI 1235306655
  NPD (past)

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288396800000",
    "number": "1003874645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 WIND RIDGE TRL",
            "city": "BERNE",
            "state": "IN",
            "postal_code": "467112375",
            "telephone_number": "260-589-3256",
            "fax_number": "260-589-3587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 WIND RIDGE TRL",
            "city": "BERNE",
            "state": "IN",
            "postal_code": "467112375",
            "telephone_number": "260-589-3256",
            "fax_number": "260-589-3587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "JADE",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2010-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002103A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Lothamer, CNM
• Pamela Kay Meyer, RPH
• Midwest Eye Consultants, P.C.
• Kathy O'Sullivan, PSY.S.
• Reynolds Chiropractic LLC
• Tara L Riehm
• Robert Judge
• Emily Rodgers, DC
• Schwartz Marathon of Berne Inc
• South Adams Schools

• Chiropractor in Berne, IN
• Providers in Berne, IN by specialty
• Chiropractor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.