Gregg T Reese DC PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH0007234 Issued in FL

Legal business name

GREGG T REESE DC PA

Practice address

3260 Stirling Rd
Hollywood, FL 33021-2041

Phone

(954) 989-4738

Fax

(954) 989-7600

NPI assigned

May 15, 2007

Last updated

Mar 2, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Gregg T Reese, DCNPI 1992787162

Title

President

Phone

(954) 989-4738

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gregg Tyler Reese, DC

  • Chiropractor
  • Hollywood, FL
  • NPI 1992787162
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299024000000",
    "number": "1174739106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3260 STIRLING RD",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330212041",
            "telephone_number": "954-989-4738",
            "fax_number": "954-989-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3260 STIRLING RD",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330212041",
            "telephone_number": "954-989-4738",
            "fax_number": "954-989-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGG T REESE DC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2011-03-02",
        "status": "A",
        "authorized_official_last_name": "REESE",
        "authorized_official_first_name": "GREGG",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-989-4738",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH0007234",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "55533",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "381077100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Greenberg, MA/CCC/SLP
• Marlisa Ashaunti Greene
• Michael Greene
• Roxanne C Greenfield, P.A.-C
• Bernard Greenspan, M.D
• Gaston Gregoire, ARNP
• Sandra Gregorisch, APRN-BC
• Allan Mitchel Greissman, M.D
• Margaret Grell, MD
• Kathy Grenka

• Chiropractor in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2011; 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.