Individual provider Active NPI

Preston Douglas Reed, D.C.

  • Chiropractor
  • Hobart, OK
National Provider Identifier
1194439208
Registry record updated Jan 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4526 Issued in OK
Practice address
116 W 4TH St
Hobart, OK 73651-4010
Phone
(580) 726-2900
Fax
(877) 796-4286
NPI assigned
Jan 12, 2023
Last updated
Jan 12, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4526 OK Primary

Addresses

Primary practice location

116 W 4TH St
Hobart, OK 73651-4010

Mailing address

1204 N Grady St
Altus, OK 73521-2535
Phone (580) 482-2313

Other practice location 1

1204 N Grady St
Altus, OK 73521-2535
Phone (580) 482-2313

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230213001217 OK Practitioner - Chiropractic 2062884455 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

718 N Stadium Dr
Hobart, OK 73651-2014

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4526OKMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Reed Chiropractic Clinic Chiropractor CurrentSince Jan 22, 2023 Accepting new patients

Locations

1204 N Grady St
Altus, OK 73521
Phone (580) 482-2313

116 W 4th St
Hobart, OK 73651
Phone (580) 726-2900

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1673481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673481600000",
    "number": "1194439208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 N GRADY ST",
            "city": "ALTUS",
            "state": "OK",
            "postal_code": "735212535",
            "telephone_number": "580-482-2313",
            "fax_number": "877-796-4286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 W 4TH ST",
            "city": "HOBART",
            "state": "OK",
            "postal_code": "736514010",
            "telephone_number": "580-726-2900",
            "fax_number": "877-796-4286"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1204 N Grady St",
            "address_purpose": "LOCATION",
            "city": "Altus",
            "state": "OK",
            "postal_code": "735212535",
            "country_code": "US",
            "telephone_number": "580-482-2313",
            "fax_number": "877-796-4286",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REED",
        "first_name": "PRESTON",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-12",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "4526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hobart, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.