Reeder Chiropractic, P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4251 Issued in CO

Legal business name

REEDER CHIROPRACTIC, P.C.

Practice address

305 Raton Ave
La Junta, CO 81050-1637

Phone

(719) 384-2225

Fax

(719) 384-2260

NPI assigned

Apr 21, 2008

Last updated

Apr 21, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jeffery Dale Reeder, D.C.NPI 1649334848

Title

Owner/President

Phone

(719) 384-2225

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• N/A Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeffery Dale Reeder, D.C.

  • Chiropractor
  • La Junta, CO
  • NPI 1649334848
  NPD (past) Authorized official

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

{
    "created_epoch": "1208736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208736000000",
    "number": "1619141678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 RATON AVE",
            "city": "LA JUNTA",
            "state": "CO",
            "postal_code": "810501637",
            "telephone_number": "719-384-2225",
            "fax_number": "719-384-2260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 RATON AVE",
            "city": "LA JUNTA",
            "state": "CO",
            "postal_code": "810501637",
            "telephone_number": "719-384-2225",
            "fax_number": "719-384-2260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REEDER CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-21",
        "last_updated": "2008-04-21",
        "status": "A",
        "authorized_official_last_name": "REEDER",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "719-384-2225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "4251",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1649334848",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "N/A",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Chiropractor in La Junta, CO
• Providers in La Junta, CO by specialty
• Chiropractor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2008; 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.