Individual provider Active NPI

Michael Walter Reinhardt, D.C.

  • Chiropractor
  • Webster, NY
National Provider Identifier
1346366309
Registry record updated Jan 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X-009570 Issued in NY
Practice address
27 North Ave
Webster, NY 14580-3007
Phone
(585) 872-1090
Fax
(585) 872-1098
NPI assigned
Mar 21, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X-009570 NY Primary

Addresses

Primary practice location

27 North Ave
Webster, NY 14580-3007

Mailing address

27 North Ave
Webster, NY 14580-3007
Phone (585) 872-1090

Other identifiers 3

IdentifierTypeStateIssuer
106007ANOtherNYPREFERRED CARE
P010009570OtherNYBLUE CHOICE
P020009570OtherNYBLUE CROSS BLUE SHIELD RA

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

LicenseStateTypeSpecialty
X-009570NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Rochester Active Release Techniques Chiropractic and Muscle Treatment Chiropractor Past Accepting new patients
Goshorn Chiropractic P.C. Chiropractor PastSince Mar 31, 2000 Accepting new patients
Highland Hospital of Rochester Past Accepting new patients

Organizations & group practices 3

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": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231977600000",
    "number": "1346366309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 NORTH AVE",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145803007",
            "telephone_number": "585-872-1090",
            "fax_number": "585-872-1098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 NORTH AVE",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145803007",
            "telephone_number": "585-872-1090",
            "fax_number": "585-872-1098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REINHARDT",
        "first_name": "MICHAEL",
        "middle_name": "WALTER",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-21",
        "last_updated": "2009-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X-009570",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "106007AN",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE",
            "identifier": "P010009570",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD RA",
            "identifier": "P020009570",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2009; 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.