Charles Alfred Reid, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301004874 Issued in MI

Practice address

5877 Livernois Rd
Suite 104
Troy, MI 48098-3100

Phone

(248) 828-8300

Fax

(248) 828-9460

NPI assigned

Dec 20, 2006

Sex

Male

Sole proprietor

No

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

Enrolled in MI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Reid Chiropractic Clinic PC

  • Chiropractor
  • Troy, MI
  • NPI 1144570755
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209945600000",
    "number": "1376607994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5877 LIVERNOIS RD",
            "address_2": "SUITE 104",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480983100",
            "telephone_number": "248-828-8300",
            "fax_number": "248-828-9460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5877 LIVERNOIS RD",
            "address_2": "SUITE 104",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480983100",
            "telephone_number": "248-828-8300",
            "fax_number": "248-828-9460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REID",
        "first_name": "CHARLES",
        "middle_name": "ALFRED",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-20",
        "last_updated": "2008-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301004874",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD OF MICHIGAN",
            "identifier": "950F352220",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rehab Pathways Group Inc.
• Rehabilitation Specialists Top of Troy PC
• Andrew Vincent Rehling, OTR/L
• Emily Katherine Reich Kutchey, PHARMD
• Reid Chiropractic Clinic PC
• Evelyn Reilly, MA
• Jesse Reitz
• Kelsey Jean Reitzloff, PA
• Relative Homecare LLC
• Rem Anesthesia Professionals PLLC

• Chiropractor in Troy, MI
• Providers in Troy, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2008; 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.