Ben C. Reilly, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2236 Issued in CT

Practice address

645 Main St
Plantsville, CT 06479-1506

Phone

(860) 579-4021

NPI assigned

Sep 20, 2021

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

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Mountain High Chiropractic and Sports Medicine LLC

  • Health Service Clinic/Center
  • Plantsville, CT
  • NPI 1902577836
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1632096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632268800000",
    "number": "1457021537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 MAIN ST",
            "city": "PLANTSVILLE",
            "state": "CT",
            "postal_code": "064791506",
            "telephone_number": "860-579-4021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 MAIN ST",
            "city": "PLANTSVILLE",
            "state": "CT",
            "postal_code": "064791506",
            "telephone_number": "860-579-4021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REILLY",
        "first_name": "BEN",
        "middle_name": "C.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-20",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "2236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew John Prezioso, DMD
• Progressive Pathways Behavior Analytic Consultation Services PLLC
• Evelyn Katherine Puzio, MSOT, OTRL/L
• Jonathan Rauch
• Rebecca Stamat
• Greg E Reiss, DMD
• Resilient Living PC
• Trinity Robinson-Wise, LPN
• Kris Anthony Robles, LCSW
• Suzanne A Rosenberg, LCSW

• Chiropractor in Plantsville, CT
• Providers in Plantsville, CT by specialty
• Chiropractor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2021; 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.