Active NPI
Danniell Jesus Reyes, DC, CCSP, DACRB
- Chiropractor
- Westminster, CO
National Provider Identifier
1124053905
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(14) exclusion effective Feb 20, 2012.
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC006207L
- Practice address
- 8155 W 94TH Ave
Westminster, CO 80021-4515 - Phone
- (303) 423-4610
- NPI assigned
- Jul 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | DC-006207-L | PA | |
| Rehabilitation Chiropractor | 111NR0400X | 0008197 | CO | |
| Sports Physician Chiropractor | 111NS0005X | DC-OO6207-L | PA | |
| Chiropractor | 111N00000X | DC006207L | PA | Primary |
Addresses
Primary practice location
8155 W 94TH Ave
Westminster, CO 80021-4515
Mailing address
511 E 88TH Ave Apt 216
Thornton, CO 80229-4478
Phone (610) 349-6679
Other identifiers 16
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 265170001 | Other | PA | KEYSTONE EAST |
| 7957156 | Other | PA | AETNA |
| 02754900 | Other | PA | ASHN GROUP |
| 2141296000 | Other | PA | PERSONAL CHOICE GROUP |
| 2141296000 | Other | PA | KEYSTONE EAST GROUP |
| 3000378 | Other | PA | KEYSTONE CENTRAL |
| 1146297 | Other | PA | AMERIHEALTH MERCY |
| 1445656 | Other | PA | BLUE CARD /BS |
| 233046549 | Other | PA | UNITED HEALTH CARE |
| 506314 | Other | PA | AMERIHEALTH ADMIN. |
| 026517000 | Other | PA | PERSONAL CHOICE |
| 02754900 | Other | PA | KEYSTONE CENTRAL GROUP |
| 01877901 | Other | PA | ASHN IND. |
| 0265170000 | Other | PA | IND. BC/BS |
| 1528871 | Other | PA | GATEWAY |
| 2141296000 | Other | PA | IND. BC/BS GROUP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC006207L | PA | MD | Chiropractor |
| 0008197 | CO | MD | Rehabilitation Chiropractor |
| DC-006207-L | PA | MD | Rehabilitation Chiropractor |
| DC-OO6207-L | PA | MD | Sports Physician Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehabilitation Management Specialists, LLC | Rehabilitation | Current | Accepting new patients |
| Rehabilitation Management Specialists, LLC | Current | Accepting new patients |
Locations
3805 Nazareth Pike
Bethlehem, PA 18020
Phone (484) 821-0346
Organizations & group practices 2
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.
-
- Rehabilitation Chiropractor
- Saylorsburg, PA
- NPI 1205042298
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Bethlehem, PA
- NPI 1265605224
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589328000000",
"number": "1124053905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "511 E 88TH AVE APT 216",
"city": "THORNTON",
"state": "CO",
"postal_code": "802294478",
"telephone_number": "610-349-6679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8155 W 94TH AVE",
"city": "WESTMINSTER",
"state": "CO",
"postal_code": "800214515",
"telephone_number": "303-423-4610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYES",
"first_name": "DANNIELL",
"middle_name": "JESUS",
"name_prefix": "Dr.",
"credential": "DC, CCSP, DACRB",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-11",
"last_updated": "2020-05-13",
"certification_date": "2020-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "PA",
"license": "DC-006207-L",
"primary": false
},
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "CO",
"license": "0008197",
"primary": false
},
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "PA",
"license": "DC-OO6207-L",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC006207L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE EAST",
"identifier": "265170001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7957156",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASHN GROUP",
"identifier": "02754900",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PERSONAL CHOICE GROUP",
"identifier": "2141296000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE EAST GROUP",
"identifier": "2141296000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE CENTRAL",
"identifier": "3000378",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH MERCY",
"identifier": "1146297",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CARD /BS",
"identifier": "1445656",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "233046549",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH ADMIN.",
"identifier": "506314",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PERSONAL CHOICE",
"identifier": "026517000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE CENTRAL GROUP",
"identifier": "02754900",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASHN IND.",
"identifier": "01877901",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IND. BC/BS",
"identifier": "0265170000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY",
"identifier": "1528871",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IND. BC/BS GROUP",
"identifier": "2141296000",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Westminster, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.