Individual provider Active NPI

Dakota Banks Reese, D.C.

  • Chiropractor
  • Augusta, GA
National Provider Identifier
1366149171
Registry record updated Feb 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIRO10964 Issued in GA
Practice address
3665 Wheeler Rd Ste 2a
Augusta, GA 30909-6510
Phone
(706) 860-8717
Fax
(706) 860-1341
NPI assigned
Feb 13, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIRO10964 GA Primary

Addresses

Primary practice location

3665 Wheeler Rd Ste 2a
Augusta, GA 30909-6510

Mailing address

3520 Walton Way Ext Ste 1a
Augusta, GA 30909-6591
Phone (706) 917-3169

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230301002407 GA Practitioner - Chiropractic 7214300805 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thigpen Chiropractic, LLCGroup PAC ID 1850796103, 5 clinicians

Practice addresses (Care Compare)

3520 Walton Way Ext
Suite 1a
Augusta, GA 30909-6591
Phone (706) 917-3169

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIRO10964GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Boutwell Chiropractic Group PC Chiropractor CurrentSince Feb 19, 2023 Accepting new patients
Thigpen Chiropractic, LLC Chiropractor CurrentSince Feb 9, 2023 Accepting new patients

Locations

3520 Walton Way Ext
Ste 1A
Augusta, GA 30909
Phone (404) 394-2191

3665 Wheeler Rd
Ste 2A
Augusta, GA 30909
Phone (706) 860-8717

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.

NPI Registry JSON

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

{
    "created_epoch": "1676246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676246400000",
    "number": "1366149171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3520 WALTON WAY EXT STE 1A",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309096591",
            "telephone_number": "706-917-3169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3665 WHEELER RD STE 2A",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309096510",
            "telephone_number": "706-860-8717",
            "fax_number": "706-860-1341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REESE",
        "first_name": "DAKOTA",
        "middle_name": "BANKS",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-13",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIRO10964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.