Laurel M. Reid, D. C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

20360 Issued in CA

Practice address

1100 S El Camino Real
San Mateo, CA 94402-2804

Phone

(650) 344-4970

Fax

(650) 212-3112

NPI assigned

Oct 18, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Mink Chiropractic Inc

  • Chiropractor
  • San Mateo, CA
  • NPI 1104363308
  NPD (past)
• Spicereddy Chiropractic, Inc

  • Chiropractor
  • San Mateo, CA
  • NPI 1679020432
  NPD (past)

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093896557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 S EL CAMINO REAL",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944022804",
            "telephone_number": "650-344-4970",
            "fax_number": "650-212-3112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 S EL CAMINO REAL",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944022804",
            "telephone_number": "650-344-4970",
            "fax_number": "650-212-3112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REID",
        "first_name": "LAUREL",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "D. C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "20360",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "DC020360",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Regional Diagnostic Imaging
• Lisa Dawn Register
• Amanda Matilda Regodon Wallin, MD, MPH
• Taea Raven Regua, BT/RBT
• Rehabilitation Physicians
• Kendall Reiner
• Clifford Reis
• Karen Relucio, MD
• Remedy Medical Group
• Kelly Ren, DDS

• Chiropractor in San Mateo, CA
• Providers in San Mateo, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.