Active NPI
Daniel J Reiss, DC
- Chiropractor
- Fort Lauderdale, FL
National Provider Identifier
1275699282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH0005947
- Practice address
- 2000 E Oakland Park Blvd
Suite 101
Fort Lauderdale, FL 33306-1120 - Phone
- (954) 566-4222
- Fax
- (954) 566-4386
- NPI assigned
- Dec 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH0005947 | FL | Primary |
Addresses
Primary practice location
2000 E Oakland Park Blvd
Suite 101
Fort Lauderdale, FL 33306-1120
Mailing address
2805 E Oakland Park Blvd
Pmb446
Fort Lauderdale, FL 33306-1813
Phone (954) 566-4222
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22408 | Other | FL | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH0005947 | FL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Docreissllc | Chiropractor | Current | Accepting new patients |
| Associates for Total Health | Chiropractor | Past | Accepting new patients |
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.
-
- Chiropractor
- Fort Lauderdale, FL
- NPI 1750189270
-
- Chiropractor
- Fort Lauderdale, FL
- NPI 1518020510
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1275699282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2805 E OAKLAND PARK BLVD",
"address_2": "PMB446",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333061813",
"telephone_number": "954-566-4222",
"fax_number": "954-566-4386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 E OAKLAND PARK BLVD",
"address_2": "SUITE 101",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333061120",
"telephone_number": "954-566-4222",
"fax_number": "954-566-4386"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REISS",
"first_name": "DANIEL",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH0005947",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "22408",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.