Kelsey Reid, D.C

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

13466 Issued in TX

Practice address

13396 Preston Rd
Dallas, TX 75240-5208

Phone

(972) 503-7272

NPI assigned

Apr 18, 2017

Last updated

Apr 18, 2017By the provider in NPPES

Sex

Female

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 TX

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ri Sports Medicine PLLCGroup PAC ID 2567885189, 7 clinicians

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ri Sports Medicine PLLC

  dba Reagan Integrated Sports Medicine

  • Chiropractor
  • Dallas, TX
  • NPI 1639799521
  Medicare reassignment Care Compare group NPD
• Eberle-Reagan, Inc

  dba Reagan ChiroSport Center

  • Sports Physician Chiropractor
  • Dallas, TX
  • NPI 1194908210
  NPD (past)

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

{
    "created_epoch": "1492473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492473600000",
    "number": "1508390436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13396 PRESTON RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752405208",
            "telephone_number": "972-503-7272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13396 PRESTON RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752405208",
            "telephone_number": "972-503-7272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REID",
        "first_name": "KELSEY",
        "name_prefix": "Mrs.",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-18",
        "last_updated": "2017-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "TX",
            "license": "13466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Carlisle Reid-Doulgas, LPC
• Daphne Dykes Reid, MS, CCC-SLP
• David Reid, D.O.
• Douglas Reid, DDS
• Jameelah Reid, D.C.
• Lauren Harker Reid
• Linda Marilyn Reid, BCBA-LBA
• Lorna L Reid, COTA
• Neil Reid, MD
• Paula V. Reid, WHCNP

• Sports Physician Chiropractor in Dallas, TX
• Providers in Dallas, TX by specialty
• Sports Physician Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2017; 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.