Jordan Merrill Reidhead, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

8310 Issued in AZ

Practice address

750 W Dimond Blvd
Suite 121
Anchorage, AK 99515-1501

Phone

(907) 344-0033

NPI assigned

Jun 26, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1372204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383004800000",
    "number": "1528408283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 W DIMOND BLVD",
            "address_2": "SUITE 121",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995151501",
            "telephone_number": "907-344-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 W DIMOND BLVD",
            "address_2": "SUITE 121",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995151501",
            "telephone_number": "907-344-0033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REIDHEAD",
        "first_name": "JORDAN",
        "middle_name": "MERRILL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-26",
        "last_updated": "2013-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AK",
            "license": "582",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "8310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bailey Moore Reichard, MS, LPC
• Matthew Reichart, PHARM.D.
• Sarah Reichert, L.M.T
• Amanda Reid
• Frances Ann Reid
• Heather Reier, CD(DONA)
• Kaitlin Reiley
• Emily Margaret Reilly, MD
• Fay E Reilly, ANP
• Joclyn Diehl Reilly, MSW

• Chiropractor in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Chiropractor in Alaska

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

Verify at the official NPI Registry.