Individual provider Active NPI

Jennifer Charese Reed, D.C.

  • Chiropractor
  • Anchorage, AK
National Provider Identifier
1669815692
Registry record updated May 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
605 Issued in AK
Practice address
4000 W Dimond Blvd
Suite 4
Anchorage, AK 99502-1475
Phone
(907) 243-0660
Fax
(907) 248-5481
NPI assigned
Apr 9, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Chiropractor 111N00000X 12347 TX
Chiropractor 111N00000X 605 AK Primary

Addresses

Primary practice location

4000 W Dimond Blvd
Suite 4
Anchorage, AK 99502-1475

Mailing address

403 Overland Ave
Ste a
Kenai, AK 99611-8050
Phone (907) 395-4466

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160212000323 AK Practitioner - Chiropractic 9133442890 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2013
Medicare assignment
May accept Medicare assignment
Group practices
Puffin Chiropractic LLCGroup PAC ID 4082960414, 2 clinicians

Practice addresses (Care Compare)

403 Overland Ave
Suite a
Kenai, AK 99611-8050
Phone (907) 395-4466

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
605AKMDChiropractor
12347TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Puffin Chiropractic LLC Chiropractor CurrentSince May 1, 2018 Accepting new patients
Jennifer Charese Reed DC Chiropractor PastSince Oct 15, 2014 Accepting new patients

Locations

403 Overland Ave
Ste A
Kenai, AK 99611
Phone (907) 395-4466

Organizations & group practices 2

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": "1365465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527120000000",
    "number": "1669815692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 OVERLAND AVE",
            "address_2": "STE A",
            "city": "KENAI",
            "state": "AK",
            "postal_code": "996118050",
            "telephone_number": "907-395-4466",
            "fax_number": "907-395-4460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 W DIMOND BLVD",
            "address_2": "SUITE 4",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995021475",
            "telephone_number": "907-243-0660",
            "fax_number": "907-248-5481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED",
        "first_name": "JENNIFER",
        "middle_name": "CHARESE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-09",
        "last_updated": "2018-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "12347",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AK",
            "license": "605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2018; 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.