Organization Active NPI

Jo J Reeves Dcpa

  • Chiropractor
  • Winter Garden, FL
National Provider Identifier
1235489451
Registry record updated Feb 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH4807 Issued in FL
Legal business name
JO J REEVES DCPA
Practice address
424 N Dillard St
Winter Garden, FL 34787-2817
Phone
(407) 656-0390
NPI assigned
Sep 14, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2018

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

Authorized official

Name
Dr. Jo J Reeves, DC
Title
Owner
Phone
(407) 656-6300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH4807 FL Primary

Addresses

Primary practice location

424 N Dillard St
Winter Garden, FL 34787-2817

Mailing address

424 N Dillard St
Winter Garden, FL 34787-2817
Phone (407) 656-0390

Other identifiers 1

IdentifierTypeStateIssuer
70674OtherFLMEDICARE PTAN

National Provider Directory

National Provider Directory

Locations

424 N Dillard St
Winter Garden, FL 34787
Phone (407) 656-0390

NPI Registry JSON

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

{
    "created_epoch": "1347580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519171200000",
    "number": "1235489451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 N DILLARD ST",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347872817",
            "telephone_number": "407-656-0390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 N DILLARD ST",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347872817",
            "telephone_number": "407-656-0390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JO J REEVES DCPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-14",
        "last_updated": "2018-02-21",
        "status": "A",
        "authorized_official_last_name": "REEVES",
        "authorized_official_first_name": "JO",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-656-6300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH4807",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "70674",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Garden, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.