Individual provider Active NPI

Daniel J Reida, D.C.

  • Chiropractor
  • South Yarmouth, MA
National Provider Identifier
1194711267
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHI344 Issued in MA
Practice address
833 Route 28
South Yarmouth, MA 02664-5202
Phone
(508) 394-1353
Fax
(508) 398-2866
NPI assigned
Sep 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHI344 MA Primary

Addresses

Primary practice location

833 Route 28
South Yarmouth, MA 02664-5202

Mailing address

833 Route 28
South Yarmouth, MA 02664-5202
Phone (508) 394-1353

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060420000223 MA Practitioner - Chiropractic 2860398278 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1972
Medicare assignment
May accept Medicare assignment
Group practices
Bass River Healthcare Associates Inc 2 clinicians

Practice addresses (Care Compare)

833 Route 28
S Yarmouth, MA 02664-5254
Phone (508) 394-1353

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bass River Healthcare Associates, Inc. Chiropractor CurrentSince Jan 24, 2001 Accepting new patients
Agj Physical Therapy Associates, L.L.C. PastSince Jan 24, 2001 Accepting new patients

Locations

833 Route 28
South Yarmouth, MA 02664
Phone (508) 619-4344

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747699200000",
    "number": "1194711267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 ROUTE 28",
            "city": "SOUTH YARMOUTH",
            "state": "MA",
            "postal_code": "026645202",
            "telephone_number": "508-394-1353",
            "fax_number": "508-398-2866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 ROUTE 28",
            "city": "SOUTH YARMOUTH",
            "state": "MA",
            "postal_code": "026645202",
            "telephone_number": "508-394-1353",
            "fax_number": "508-398-2866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REIDA",
        "first_name": "DANIEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-23",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "CHI344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Yarmouth, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2025; 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.