Organization Active NPI

Reid Chiropractic & Wellness Center, LLC

  • Chiropractor
  • Orlando, FL
National Provider Identifier
1164970729
Registry record updated Nov 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8558 Issued in FL
Legal business name
REID CHIROPRACTIC & WELLNESS CENTER, LLC
Practice address
1626 Conway Rd
Suite C
Orlando, FL 32812-2705
Phone
(407) 574-8565
NPI assigned
Sep 13, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2016

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

Authorized official

Name
Mrs. Tashia Reid, DCNPI 1689899619
Title
Owner/Physician
Phone
(407) 574-8565

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CH8558 FL Primary

Addresses

Primary practice location

1626 Conway Rd
Suite C
Orlando, FL 32812-2705

Mailing address

1626 Conway Rd
Suite C
Orlando, FL 32812-2705
Phone (407) 574-8565

Other identifiers 1

IdentifierTypeStateIssuer
CH8558OtherFLCH LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211202000173 FL Part B Supplier - Clinic/Group Practice 5698165884 Receives reassigned benefits from 1 practitioner
Practice locations: Casselberry, FL

National Provider Directory

National Provider Directory

Locations

1626 Conway Rd
Ste C
Orlando, FL 32812
Phone (407) 574-8565

Practitioners & affiliated clinicians

Practitioners 1

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": "1473724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478044800000",
    "number": "1164970729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1626 CONWAY RD",
            "address_2": "SUITE C",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328122705",
            "telephone_number": "407-574-8565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1626 CONWAY RD",
            "address_2": "SUITE C",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328122705",
            "telephone_number": "407-574-8565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REID CHIROPRACTIC & WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-13",
        "last_updated": "2016-11-02",
        "status": "A",
        "authorized_official_last_name": "REID",
        "authorized_official_first_name": "TASHIA",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "407-574-8565",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8558",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CH LICENSE",
            "identifier": "CH8558",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.