Active NPI
Eric W Reese, D.C.
- Chiropractor
- Hollywood, FL
National Provider Identifier
1497782411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH0007421
- Practice address
- 3854 Sheridan St
Suite B
Hollywood, FL 33021-3630 - Phone
- (954) 989-2323
- Fax
- (954) 989-2325
- NPI assigned
- Jun 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH0007421 | FL | Primary |
Addresses
Primary practice location
3854 Sheridan St
Suite B
Hollywood, FL 33021-3630
Mailing address
3854 Sheridan St
Suite B
Hollywood, FL 33021-3630
Phone (954) 989-2323
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 55673 | Other | FL | BLUE CROSS BLUE SHIELD |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH0007421 | FL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497782411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3854 SHERIDAN ST",
"address_2": "SUITE B",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330213630",
"telephone_number": "954-989-2323",
"fax_number": "954-989-2325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3854 SHERIDAN ST",
"address_2": "SUITE B",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330213630",
"telephone_number": "954-989-2323",
"fax_number": "954-989-2325"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REESE",
"first_name": "ERIC",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH0007421",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "55673",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hollywood, FL
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.