Individual provider Active NPI

Danniell Jesus Reyes, DC, CCSP, DACRB

  • Chiropractor
  • Westminster, CO
National Provider Identifier
1124053905
Registry record updated May 13, 2020
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.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC006207L Issued in PA
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

Updated by the provider on May 13, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
265170001OtherPAKEYSTONE EAST
7957156OtherPAAETNA
02754900OtherPAASHN GROUP
2141296000OtherPAPERSONAL CHOICE GROUP
2141296000OtherPAKEYSTONE EAST GROUP
3000378OtherPAKEYSTONE CENTRAL
1146297OtherPAAMERIHEALTH MERCY
1445656OtherPABLUE CARD /BS
233046549OtherPAUNITED HEALTH CARE
506314OtherPAAMERIHEALTH ADMIN.
026517000OtherPAPERSONAL CHOICE
02754900OtherPAKEYSTONE CENTRAL GROUP
01877901OtherPAASHN IND.
0265170000OtherPAIND. BC/BS
1528871OtherPAGATEWAY
2141296000OtherPAIND. 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. Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
DC006207LPAMDChiropractor
0008197COMDRehabilitation Chiropractor
DC-006207-LPAMDRehabilitation Chiropractor
DC-OO6207-LPAMDSports Physician Chiropractor

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.