Individual provider Active NPI

Ryan R Reeves, D.C.

  • Chiropractor
  • Greenfield, OH
National Provider Identifier
1386672079
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3615 Issued in OH
Practice address
1460 Jefferson Street
Suite a
Greenfield, OH 45123
Phone
(937) 981-1992
NPI assigned
Jun 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3615 OH Primary

Addresses

Primary practice location

1460 Jefferson Street
Suite a
Greenfield, OH 45123

Mailing address

1460 Jefferson Street
Suite a P.O.Box 11
Greenfield, OH 45123
Phone (937) 981-1992

Other identifiers 3

IdentifierTypeStateIssuer
7638742OtherOHGROUP AETNA
432084906-00OtherOHGROUP WORKERS COMP
7491626OtherOHINDIVIDUAL AETNA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050511000438 OH Practitioner - Chiropractic 8325088107 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greenfield Chiropractic, L.L.C.Group PAC ID 7810070497, 3 clinicians

Practice addresses (Care Compare)

1460 Jefferson St
Suite a
Greenfield, OH 45123-8415

1460 State Route 28 W a
Greenfield, OH 45123-8415
Phone (937) 981-1992

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3615OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Greenfield Chiropractic, L.L.C. Chiropractor CurrentSince Apr 28, 2005 Accepting new patients
Back to Health Family Chiropractic Inc Chiropractor PastSince Jan 4, 2010 Accepting new patients

Locations

1460 Jefferson St
Ste A
Greenfield, OH 45123
Phone (937) 981-1992

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": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386672079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 JEFFERSON STREET",
            "address_2": "SUITE A P.O.BOX 11",
            "city": "GREENFIELD",
            "state": "OH",
            "postal_code": "45123",
            "telephone_number": "937-981-1992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 JEFFERSON STREET",
            "address_2": "SUITE A",
            "city": "GREENFIELD",
            "state": "OH",
            "postal_code": "45123",
            "telephone_number": "937-981-1992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REEVES",
        "first_name": "RYAN",
        "middle_name": "R",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3615",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP AETNA",
            "identifier": "7638742",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP WORKERS COMP",
            "identifier": "432084906-00",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL AETNA",
            "identifier": "7491626",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenfield, OH

Sources for this page

  • 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.
  • 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.