Active NPI
Carly Reed, D.C.
- Chiropractor
- Delafield, WI
National Provider Identifier
1598100737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5384-12
- Practice address
- 615 Genesee St
Delafield, WI 53018-1401 - Phone
- (630) 203-7447
- NPI assigned
- May 1, 2013
- Last updated
- Sep 12, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038012407 | IL | |
| Chiropractor | 111N00000X | 5384-12 | WI | Primary |
Addresses
Primary practice location
615 Genesee St
Delafield, WI 53018-1401
Mailing address
615 Genesee St
Delafield, WI 53018-1401
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 |
|---|---|---|---|
| 038012407 | IL | MD | Chiropractor |
| 5384-12 | WI | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568246400000",
"number": "1598100737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 GENESEE ST",
"city": "DELAFIELD",
"state": "WI",
"postal_code": "530181401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 GENESEE ST",
"city": "DELAFIELD",
"state": "WI",
"postal_code": "530181401",
"telephone_number": "630-203-7447"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REED",
"first_name": "CARLY",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-01",
"last_updated": "2019-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038012407",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "5384-12",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Delafield, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.