Organization Active NPI

Dr. Reese, Inc.

  • Chiropractor
  • Clinton, IA
National Provider Identifier
1164822698
Registry record updated Jul 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
DR. REESE, INC.
Practice address
2344 Camanche Ave
Clinton, IA 52732-6034
Phone
(563) 289-7171
NPI assigned
Sep 3, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2019

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

Authorized official

Name
Dr. Reese R. Petersen, DC
Title
Owner/Practitioner
Phone
(563) 289-7171

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

2344 Camanche Ave
Clinton, IA 52732-6034

Mailing address

2418 S 18TH St
Clinton, IA 52732-6827
Phone (563) 503-1466

Other practice location 1

2418 S 18th St
Clinton, IA 52732-6827
Phone (563) 503-1466

Other names 1

  • Pinnacle Sport & Spine Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

1663 Lincoln Way
Ste B
Clinton, IA 52732
Phone (563) 242-8090

2344 Camanche Ave
Clinton, IA 52732
Phone (563) 259-6175

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1409702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563494400000",
    "number": "1164822698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2418 S 18TH ST",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "527326827",
            "telephone_number": "563-503-1466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2344 CAMANCHE AVE",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "527326034",
            "telephone_number": "563-289-7171"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2418 S 18th St",
            "address_purpose": "LOCATION",
            "city": "Clinton",
            "state": "IA",
            "postal_code": "527326827",
            "country_code": "US",
            "telephone_number": "563-503-1466",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DR. REESE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-03",
        "last_updated": "2019-07-19",
        "status": "A",
        "authorized_official_last_name": "PETERSEN",
        "authorized_official_first_name": "REESE",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER/PRACTITIONER",
        "authorized_official_telephone_number": "563-289-7171",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pinnacle Sport & Spine Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clinton, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2019; 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.