Active NPI
Leslie Anne Reid, D.C.
- Chiropractor
- Ellisville, MO
National Provider Identifier
1508991084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2001025911
- Practice address
- 16075 Manchester Rd
Ellisville, MO 63011-2103 - Phone
- (636) 256-0880
- Fax
- (636) 256-9153
- NPI assigned
- Feb 23, 2007
- Sex
- Female
- 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 | 2001025911 | MO | Primary |
Addresses
Primary practice location
16075 Manchester Rd
Ellisville, MO 63011-2103
Mailing address
16075 Manchester Rd
Ellisville, MO 63011-2103
Phone (636) 256-0880
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 653079 | Other | MO | UHC PROVIDER # |
| 200557644 | Other | MO | FEDERAL TAX ID # |
| 465372 | Other | MO | HEALTHLINK PROV # |
| 149546 | Other | MO | BLUE CROSS PROV # |
| P00338527 | Other | MO | MEDICARE RR PROV # |
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 |
|---|---|---|---|
| 2001025911 | MO | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378857600000",
"number": "1508991084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16075 MANCHESTER RD",
"city": "ELLISVILLE",
"state": "MO",
"postal_code": "630112103",
"telephone_number": "636-256-0880",
"fax_number": "636-256-9153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16075 MANCHESTER RD",
"city": "ELLISVILLE",
"state": "MO",
"postal_code": "630112103",
"telephone_number": "636-256-0880",
"fax_number": "636-256-9153"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REID",
"first_name": "LESLIE",
"middle_name": "ANNE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-23",
"last_updated": "2013-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MO",
"license": "2001025911",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC PROVIDER #",
"identifier": "653079",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDERAL TAX ID #",
"identifier": "200557644",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK PROV #",
"identifier": "465372",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS PROV #",
"identifier": "149546",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR PROV #",
"identifier": "P00338527",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ellisville, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.