Individual provider Active NPI

John William Rees Jr., D.C.

  • Chiropractor
  • Milton, DE
National Provider Identifier
1619021086
Registry record updated Mar 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
F1-0000735 Issued in DE
Practice address
611 Federal St
Suite 5
Milton, DE 19968-1157
Phone
(302) 684-1995
Fax
(302) 329-9743
NPI assigned
Jan 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X F1-0000735 DE Primary

Addresses

Primary practice location

611 Federal St
Suite 5
Milton, DE 19968-1157

Mailing address

611 Federal St
Suite 5
Milton, DE 19968-1157
Phone (302) 684-1995

Other identifiers 4

IdentifierTypeStateIssuer
681138OtherDEUNITED HEALTH CARE ID
F1-0000735OtherDELICENSE NUMBER
P00306715OtherMDMEDICARE RAILROAD ID
348400-06OtherMDCAREFIRST BCBS ID

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090226000367 DE Practitioner - Chiropractic 3870584816 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

103 Broadkill Rd
Milton, DE 19968-1007
Phone (302) 684-1995

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F1-0000735DEMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Functional Chiropractic LLC Chiropractor CurrentSince Mar 1, 2013 Accepting new patients
First State Nutrition LLC Past Accepting new patients
John W Rees Jr P.C. Chiropractor PastSince Mar 1, 2006 Accepting new patients

Locations

103 Broadkill Rd
Milton, DE 19968

611 Federal St
Ste 5
Milton, DE 19968
Phone (302) 329-9046

506 Union St
Milton, DE 19968
Phone (302) 329-3110

1536 Kirkwood Hwy
Newark, DE 19711
Phone (302) 454-1200

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362096000000",
    "number": "1619021086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 FEDERAL ST",
            "address_2": "SUITE 5",
            "city": "MILTON",
            "state": "DE",
            "postal_code": "199681157",
            "telephone_number": "302-684-1995",
            "fax_number": "302-329-9743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 FEDERAL ST",
            "address_2": "SUITE 5",
            "city": "MILTON",
            "state": "DE",
            "postal_code": "199681157",
            "telephone_number": "302-684-1995",
            "fax_number": "302-329-9743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REES",
        "first_name": "JOHN",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2013-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "DE",
            "license": "F1-0000735",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE ID",
            "identifier": "681138",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "F1-0000735",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD ID",
            "identifier": "P00306715",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS ID",
            "identifier": "348400-06",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milton, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2013; 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.