Individual provider Active NPI

Reeson Earl Flores, D.C.

  • Chiropractor
  • Louisville, KY
National Provider Identifier
1427192558
Registry record updated Jan 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
248769 Issued in KY
Practice address
310 E Broadway Ste 102
Louisville, KY 40202-1745
Phone
(502) 600-0858
Fax
(502) 953-0862
NPI assigned
Feb 20, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 248769 KY Primary

Addresses

Primary practice location

310 E Broadway Ste 102
Louisville, KY 40202-1745

Mailing address

310 E Broadway Ste 102
Louisville, KY 40202-1745
Phone (502) 600-0858

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180223002370 KY Practitioner - Chiropractic 3173504529 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

310 E Broadway
Suite 102
Louisville, KY 40202-1745
Phone (502) 600-0858

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ocean Behavioral Healthcare LLC CurrentSince Jan 5, 2020 Accepting new patients
Innate Chiropractic, PLLC Chiropractor CurrentSince Jan 23, 2018 Accepting new patients
Healing Hands Inc Chiropractor Past Accepting new patients
Healing Hands Inc Chiropractor Past Accepting new patients
Healthview Rehabilitation Centers PSC Chiropractor Past Accepting new patients

Locations

310 E Broadway
Ste 102
Louisville, KY 40202
Phone (502) 600-0858

2500 W Broadway
Ste 500
Louisville, KY 40211
Phone (800) 787-2812

Organizations & group practices 5

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": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643587200000",
    "number": "1427192558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 E BROADWAY STE 102",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021745",
            "telephone_number": "502-600-0858",
            "fax_number": "502-953-0862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 E BROADWAY STE 102",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021745",
            "telephone_number": "502-600-0858",
            "fax_number": "502-953-0862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORES",
        "first_name": "REESON",
        "middle_name": "EARL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-20",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "248769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; 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.