Individual provider Active NPI

Jeffrey Dwayne Reed, DC

  • Chiropractor
  • North Scituate, RI
National Provider Identifier
1598869661
Registry record updated Feb 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DCP000326 Issued in RI
Practice address
6 Village Plaza Way
North Scituate, RI 02857-1849
Phone
(401) 934-0077
Fax
(401) 934-2960
NPI assigned
Sep 11, 2006
Last updated
Feb 9, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DCP000326 RI Primary

Addresses

Primary practice location

6 Village Plaza Way
North Scituate, RI 02857-1849

Mailing address

6 Village Plaza Way
North Scituate, RI 02857-1849
Phone (401) 934-0077

Other identifiers 5

IdentifierTypeStateIssuer
AA15022OtherHARVARD
9035OtherBLUE CROSS
400290OtherBLUE CHIP
720091301OtherCIGNA
4400257OtherUNITED HLTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050615000649 RI Practitioner - Chiropractic 6103860697 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Scituate Chiropractic Center IncGroup PAC ID 1456547587, 2 clinicians

Practice addresses (Care Compare)

9 Village Plaza Way
North Scituate, RI 02857-1849
Phone (401) 934-0077

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DCP000326RIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Scituate Chiropractic Center Inc Chiropractor CurrentSince Sep 30, 2010 Accepting new patients

Locations

9 VLG PLZ Way
RI 02857

6 Village Plaza Way
North Scituate, RI 02857
Phone (401) 934-0077

9 VLG PLZ Way
North Scituate, RI 02857

9 VLG PLZ Way
North Scituate, RI 02857
Phone (401) 934-0077

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297209600000",
    "number": "1598869661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 VILLAGE PLAZA WAY",
            "city": "NORTH SCITUATE",
            "state": "RI",
            "postal_code": "028571849",
            "telephone_number": "401-934-0077",
            "fax_number": "401-934-2960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 VILLAGE PLAZA WAY",
            "city": "NORTH SCITUATE",
            "state": "RI",
            "postal_code": "028571849",
            "telephone_number": "401-934-0077",
            "fax_number": "401-934-2960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED",
        "first_name": "JEFFREY",
        "middle_name": "DWAYNE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-11",
        "last_updated": "2011-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "RI",
            "license": "DCP000326",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD",
            "identifier": "AA15022",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "9035",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP",
            "identifier": "400290",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "720091301",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HLTH",
            "identifier": "4400257",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Scituate, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2011; 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.