Individual provider Active NPI

Nathaniel Andrew Reese, D.C.

  • Chiropractor
  • Canonsburg, PA
National Provider Identifier
1639485444
Registry record updated Aug 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC010323 Issued in PA
Practice address
113 Cavasina Dr
Suite 600
Canonsburg, PA 15317-1784
Phone
(724) 745-1533
NPI assigned
Aug 31, 2010
Last updated
Aug 9, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 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 DC010323 PA Primary

Addresses

Primary practice location

113 Cavasina Dr
Suite 600
Canonsburg, PA 15317-1784

Mailing address

113 Cavasina Dr
Suite 600
Canonsburg, PA 15317-1784
Phone (724) 745-1533

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110526000617 PA Practitioner - Chiropractic 3375720493 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nathaniel a Reese DC PCGroup PAC ID 1153592613, 4 clinicians

Practice addresses (Care Compare)

113 Cavasina Dr
Suite 600
Canonsburg, PA 15317-1784
Phone (724) 745-1533

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC010323PAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Nathaniel a Reese DC PC Chiropractor CurrentSince Jun 18, 2011 Accepting new patients
Elliott Chiropractic Center Chiropractor PastSince Jun 18, 2011 Accepting new patients
Nardone Family Chiropractic Chiropractor PastSince Mar 3, 2014 Accepting new patients

Locations

113 Cavasina Dr
Ste 600
Canonsburg, PA 15317
Phone (724) 745-1533

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": "1283212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312848000000",
    "number": "1639485444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 CAVASINA DR",
            "address_2": "SUITE 600",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153171784",
            "telephone_number": "724-745-1533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 CAVASINA DR",
            "address_2": "SUITE 600",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153171784",
            "telephone_number": "724-745-1533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REESE",
        "first_name": "NATHANIEL",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-31",
        "last_updated": "2011-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC010323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canonsburg, PA

Sources for this page

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