Organization Active NPI

Reynolds Chiropractic

  • Chiropractor
  • Clearwater, FL
National Provider Identifier
1366817835
Registry record updated Dec 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH10462 Issued in FL
Legal business name
REYNOLDS CHIROPRACTIC
Practice address
1501 S Missouri Ave
Clearwater, FL 33756-2236
Phone
(727) 754-2663
NPI assigned
Dec 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2015

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

Authorized official

Name
Dr. Melissa Ann Reynolds, D.C.
Title
Owner
Phone
(813) 532-5757

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH10462 FL Primary

Addresses

Primary practice location

1501 S Missouri Ave
Clearwater, FL 33756-2236

Mailing address

1501 S Missouri Ave
Clearwater, FL 33756-2236
Phone (727) 754-2663

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1449619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449619200000",
    "number": "1366817835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 S MISSOURI AVE",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337562236",
            "telephone_number": "727-754-2663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 S MISSOURI AVE",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337562236",
            "telephone_number": "727-754-2663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REYNOLDS CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-09",
        "last_updated": "2015-12-09",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-532-5757",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH10462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2015; 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.