Active NPI
Erik William Reis, D.C.
- Neurology Chiropractor
- Lake Oswego, OR
National Provider Identifier
1154749547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Chiropractor
- License
- 5557
- Practice address
- 4035 Mercantile Dr
112
Lake Oswego, OR 97035-2546 - Phone
- (503) 850-4526
- Fax
- (503) 908-1555
- NPI assigned
- Apr 2, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Chiropractor | 111NN0400X | 5557 | OR | Primary |
Addresses
Primary practice location
4035 Mercantile Dr
112
Lake Oswego, OR 97035-2546
Mailing address
4035 Mercantile Dr
112
Lake Oswego, OR 97035-2546
Phone (503) 850-4526
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
Interoperability endpoints
- https://api.platform.athenahealth.com/5525/brand/1/csg/1/fhir/r4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396396800000",
"number": "1154749547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4035 MERCANTILE DR",
"address_2": "112",
"city": "LAKE OSWEGO",
"state": "OR",
"postal_code": "970352546",
"telephone_number": "503-850-4526",
"fax_number": "503-908-1555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4035 MERCANTILE DR",
"address_2": "112",
"city": "LAKE OSWEGO",
"state": "OR",
"postal_code": "970352546",
"telephone_number": "503-850-4526",
"fax_number": "503-908-1555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REIS",
"first_name": "ERIK",
"middle_name": "WILLIAM",
"name_prefix": "Mr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-04-02",
"last_updated": "2014-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "111NN0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Neurology",
"state": "OR",
"license": "5557",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Oswego, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.