Individual provider Active NPI

Carlos Reyes, D.C.

  • Chiropractor
  • Bakersfield, CA
National Provider Identifier
1619180221
Registry record updated Oct 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC 30149 Issued in CA
Practice address
1330 22ND St Ste 110
Bakersfield, CA 93301-2324
Phone
(661) 873-4151
Fax
(661) 873-4164
NPI assigned
May 8, 2007
Last updated
Oct 30, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC 30149 CA Primary

Addresses

Primary practice location

1330 22ND St Ste 110
Bakersfield, CA 93301-2324

Mailing address

1330 22ND St Ste 110
Bakersfield, CA 93301-2324
Phone (661) 873-4151

Other identifiers 1

IdentifierTypeStateIssuer
BW226ZOtherCAMEDICARE PTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090707000084 CA Practitioner - Chiropractic 9537210414 Practice locations: Bakersfield, CA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Los Angeles, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1330 22ND St
Suite 110
Bakersfield, CA 93301-0001

1330 22ND St
Suite 110
Bakersfield, CA 93301-2324
Phone (661) 873-4151

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC 30149CAMDChiropractor
30149CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Stockdale Chiropractic Clinic, Inc Chiropractor Past Accepting new patients
Elizabeth Swida Skillen, DC, a Chiropractic Corp. Chiropractor Past Accepting new patients
Pragati Patel M.D., Inc. Past Accepting new patients

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, 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": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604016000000",
    "number": "1619180221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 22ND ST STE 110",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933012324",
            "telephone_number": "661-873-4151",
            "fax_number": "661-873-4164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 22ND ST STE 110",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933012324",
            "telephone_number": "661-873-4151",
            "fax_number": "661-873-4164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "CARLOS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-08",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC 30149",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "BW226Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2020; 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.