Organization Active NPI

Reese Chiropractic Inc

  • Chiropractor
  • Mount Pleasant, SC
National Provider Identifier
1306270285
Registry record updated Aug 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3631 Issued in SC
Legal business name
REESE CHIROPRACTIC INC
Practice address
1037 Anna Knapp Blvd
Suite a
Mount Pleasant, SC 29464-3674
Phone
(843) 856-9648
Fax
(843) 856-9649
NPI assigned
Aug 27, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2013

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

Authorized official

Name
Dr. Robert ReeseNPI 1114070679
Title
Doctor
Phone
(843) 856-9648

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 3631 SC Primary

Addresses

Primary practice location

1037 Anna Knapp Blvd
Suite a
Mount Pleasant, SC 29464-3674

Mailing address

1037 Anna Knapp Blvd
Suite a
Mount Pleasant, SC 29464-3674
Phone (843) 856-9648

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130924000547 SC Part B Supplier - Clinic/Group Practice 6709020209 Receives reassigned benefits from 1 practitioner
Practice locations: Mt Pleasant, SC

National Provider Directory

National Provider Directory

Locations

1037 Anna Knapp Blvd
Ste A
Mt Pleasant, SC 29464
Phone (843) 856-9648

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": "1377561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377561600000",
    "number": "1306270285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1037 ANNA KNAPP BLVD",
            "address_2": "SUITE A",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643674",
            "telephone_number": "843-856-9648",
            "fax_number": "843-856-9649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1037 ANNA KNAPP BLVD",
            "address_2": "SUITE A",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643674",
            "telephone_number": "843-856-9648",
            "fax_number": "843-856-9649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REESE CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-27",
        "last_updated": "2013-08-27",
        "status": "A",
        "authorized_official_last_name": "REESE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "843-856-9648",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2013; 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.