Individual provider Active NPI

Isaac Pius Reis, D.C.

  • Chiropractor
  • Hiawatha, IA
National Provider Identifier
1497412258
Registry record updated Nov 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
111139 Issued in IA
Practice address
1350 Blairs Ferry Rd Ste B
Hiawatha, IA 52233-1951
Phone
(319) 343-8540
NPI assigned
Nov 29, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 111139 IA Primary

Addresses

Primary practice location

1350 Blairs Ferry Rd Ste B
Hiawatha, IA 52233-1951

Mailing address

1221 Bluegrass Cir Unit 11
Cedar Falls, IA 50613-8159
Phone (319) 343-8540

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
111139IAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Atlas Specific Chiropractic Chiropractor CurrentSince Dec 6, 2022 Accepting new patients

Locations

1350 Blairs Ferry Rd
Ste B
Hiawatha, IA 52233
Phone (319) 343-8540

Organizations & group practices 1

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": "1638144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638144000000",
    "number": "1497412258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 BLUEGRASS CIR UNIT 11",
            "city": "CEDAR FALLS",
            "state": "IA",
            "postal_code": "506138159",
            "telephone_number": "319-343-8540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 BLAIRS FERRY RD STE B",
            "city": "HIAWATHA",
            "state": "IA",
            "postal_code": "522331951",
            "telephone_number": "319-343-8540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REIS",
        "first_name": "ISAAC",
        "middle_name": "PIUS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-11-29",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "111139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hiawatha, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2021; 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.