Jordan Thomas Reizer I, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4548 Issued in SC

Practice address

11 E Calhoun St
Sumter, SC 29150-4315

Phone

(732) 581-5993

NPI assigned

Apr 14, 2020

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 SC

Enrollment records 1

Specialty

Chiropractic

Education

Sherman College of Straight Chiropractic, 2020

Medicare assignment

May accept Medicare assignment

Group practices

Central Clinic of ChiropracticGroup PAC ID 9335568435, 2 clinicians

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.

• Central Clinic of Chiropractic

  • Primary Care Clinic/Center
  • Sumter, SC
  • NPI 1760002166
  Medicare reassignment Care Compare group NPD
• Lifeguard Ambulance Service LLC

  • Ambulance
  • Murphy, NC
  • NPI 1952134082
  NPD (past)

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

{
    "created_epoch": "1586822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586822400000",
    "number": "1023637659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 ALICE DR APT 301",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291502445",
            "telephone_number": "732-581-5993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 E CALHOUN ST",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291504315",
            "telephone_number": "732-581-5993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REIZER",
        "first_name": "JORDAN",
        "middle_name": "THOMAS",
        "name_suffix": "I",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-14",
        "last_updated": "2020-04-14",
        "certification_date": "2020-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "4548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Sue Rees, DPT
• Cynthia Skelton Reese, M.D.
• Allison Antoinette Reeves, DMD
• Sara Elizabeth Clyburn Reid, PHARMD
• Kimberly W Reisenauer, P.A.
• Reliable Medical Equipment of South Carolina, LLC
• Renewed Image Youth & Family Services, LLC
• Restorative Arts Dental PA
• Restorative Arts Dental PA
• Andrew J. Reynolds, MD

• Chiropractor in Sumter, SC
• Providers in Sumter, SC by specialty
• Chiropractor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2020; 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.