Ryan Robert Reiss, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038010604 Issued in IL

Practice address

202 W Jackson St
Suite a
Sparta, IL 62286-1676

Phone

(618) 443-2026

Fax

(618) 443-2028

NPI assigned

Sep 8, 2006

Last updated

May 4, 2011By the provider in NPPES

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 IL

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Southern Illinois Spine & Joint Center, LLC

  • Chiropractor
  • Sparta, IL
  • NPI 1013098854
  Medicare reassignment NPD Authorized official
• Southern Illinois Spine & Joint Center

  • Chiropractor
  • Marissa, IL
  • NPI 1790090579
  NPD Authorized official
• Southern Illinois Spine & Joint Center of Marissa LLC

  • Chiropractor
  • Marissa, IL
  • NPI 1053664557
  Authorized official Same address or phone
• Health Centers of Southern Illinois SC.

  • Chiropractor
  • Murphysboro, IL
  • NPI 1457454860
  NPD (past)

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

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304467200000",
    "number": "1144324377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 W JACKSON ST",
            "address_2": "SUITE A",
            "city": "SPARTA",
            "state": "IL",
            "postal_code": "622861676",
            "telephone_number": "618-443-2026",
            "fax_number": "618-443-2028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 W JACKSON ST",
            "address_2": "SUITE A",
            "city": "SPARTA",
            "state": "IL",
            "postal_code": "622861676",
            "telephone_number": "618-443-2026",
            "fax_number": "618-443-2028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REISS",
        "first_name": "RYAN",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-08",
        "last_updated": "2011-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038010604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Passini, CRNA
• Shea Petrowske
• Teera Pittayathikhun, MD
• Progressive Housing, Inc. (Sparta Terrace)
• Barbara B Razer, DEVELOPMENTAL THERAP
• Deanne C Rieckenberg, APRN
• Catherine Rohlfing, DPT
• Kevin Lee Ross, CRC
• Kaelyn Noelle Rubach, CCC-SLP
• Bethany Ruggles

• Chiropractor in Sparta, IL
• Providers in Sparta, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2011; 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.