Organization Active NPI

Reasor Chiropractic PC

  • Chiropractor
  • Salem, IN
National Provider Identifier
1194036871
Registry record updated Jun 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08002101A Issued in IN
Legal business name
REASOR CHIROPRACTIC PC
Practice address
804 S Jackson St
Salem, IN 47167-1200
Phone
(812) 883-6527
Fax
(812) 883-6528
NPI assigned
Jun 28, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2010

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

Authorized official

Name
Dr. Joshua M Reasor, D.C.NPI 1821163841
Title
Doctor/President
Phone
(812) 883-6527

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: 193400000X SINGLE SPECIALTY GROUP 111N00000X 08002101A IN Primary

Addresses

Primary practice location

804 S Jackson St
Salem, IN 47167-1200

Mailing address

804 S Jackson St
Salem, IN 47167-1200
Phone (812) 883-6527

Other identifiers 1

IdentifierTypeStateIssuer
1821163841OtherINDIVIDUAL NPI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100701000377 IN Part B Supplier - Clinic/Group Practice 3678604808 Receives reassigned benefits from 2 practitioners
Practice locations: Salem, IN

National Provider Directory

National Provider Directory

Locations

804 S Jackson St
Salem, IN 47167
Phone (812) 883-6527

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": "1277683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277683200000",
    "number": "1194036871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 S JACKSON ST",
            "city": "SALEM",
            "state": "IN",
            "postal_code": "471671200",
            "telephone_number": "812-883-6527",
            "fax_number": "812-883-6528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 S JACKSON ST",
            "city": "SALEM",
            "state": "IN",
            "postal_code": "471671200",
            "telephone_number": "812-883-6527",
            "fax_number": "812-883-6528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REASOR CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-28",
        "last_updated": "2010-06-28",
        "status": "A",
        "authorized_official_last_name": "REASOR",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DOCTOR/PRESIDENT",
        "authorized_official_telephone_number": "812-883-6527",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002101A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1821163841",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2010; 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.