Reynolds Chiropractic PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

WR009081 Issued in MI

Legal business name

REYNOLDS CHIROPRACTIC PLLC

Practice address

8150 Moorsbridge Rd
Suite B
Portage, MI 49024-7419

Phone

(269) 343-2667

NPI assigned

Feb 2, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. WM Ryan Reynolds, D.C.NPI 1598739112

Title

Owner

Phone

(269) 343-2667

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• WM Ryan Reynolds, D.C.

  • Orthopedic Chiropractor
  • Portage, MI
  • NPI 1598739112
  Medicare reassignment NPD Authorized official
• Andrew J Heib, CCSP

  • Sports Physician Chiropractor
  • Portage, MI
  • NPI 1235112731
  NPD (past)

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415232000000",
    "number": "1063550143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2550",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490812550",
            "telephone_number": "269-343-2667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8150 MOORSBRIDGE RD",
            "address_2": "SUITE B",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490247419",
            "telephone_number": "269-343-2667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REYNOLDS CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2014-11-06",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "WM",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "269-343-2667",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "WR009081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reverence Home Health & Hospice, LLC
• Reverence Home Health & Hospice, LLC
• Revive Therapy and Counseling LLC
• Merilan Reyes Barrera
• Luis Reyna
• WM Ryan Reynolds, D.C.
• Jameelah Y Rheaves, LLMSW
• Richard a. Oppenlander, DDS., PLC.
• Allison Elizabeth Richards, LMSW
• Leah Rose Richardson, LMSW

• Chiropractor in Portage, MI
• Providers in Portage, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.