Edward John Reynolds, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC20364 Issued in CA

Practice address

25431 Cabot Rd
#110
Laguna Hills, CA 92653-5518

Phone

(949) 716-1900

Fax

(949) 716-1919

NPI assigned

Jan 19, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• South County Orthopedics

  • Orthopaedic Surgery Physician
  • Laguna Hills, CA
  • NPI 1609911460
  NPD (past)
• Western Orthopedic Surgical Associates

  • Specialist
  • Laguna Hills, CA
  • NPI 1811026800
  NPD (past)

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316090616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25431 CABOT RD",
            "address_2": "#110",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926535518",
            "telephone_number": "949-716-1900",
            "fax_number": "949-716-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25431 CABOT RD",
            "address_2": "#110",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926535518",
            "telephone_number": "949-716-1900",
            "fax_number": "949-716-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "EDWARD",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC20364",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENCE",
            "identifier": "DC20364",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anahita Parsi Renner
• Ryan Lee Renner, BCBA
• Fabiana Ressel del Rio
• Karen L Reuss, M.D.
• Andrew Reville
• Jonathan Glenn Reynolds, MFT
• Mark Michael Reynolds, M.D.
• Reza Govashiri,M.D.Inc
• Masih Rezaei, DDS
• RHWC Surgery Center, LLC

• Chiropractor in Laguna Hills, CA
• Providers in Laguna Hills, CA by specialty
• Chiropractor in California

• 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.

Verify at the official NPI Registry.