Individual provider Active NPI

Justin Michael Reiner, DC

  • Chiropractor
  • Sioux Falls, SD
National Provider Identifier
1679703649
Registry record updated Jul 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1152 Issued in SD
Practice address
5032 S Bur Oak PL
120
Sioux Falls, SD 57108-2243
Phone
(605) 999-9071
NPI assigned
Jul 23, 2009
Last updated
Jul 23, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1152 SD Primary

Addresses

Primary practice location

5032 S Bur Oak PL
120
Sioux Falls, SD 57108-2243

Mailing address

5032 S Bur Oak PL
120
Sioux Falls, SD 57108-2243
Phone (605) 999-9071

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091014000658 SD Practitioner - Chiropractic 7618013012 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2006
Medicare assignment
May accept Medicare assignment
Group practices
Dynamic Spine Chiropractic Health Center PCGroup PAC ID 5294018065, 2 clinicians

Practice addresses (Care Compare)

4900 S Technopolis Dr
Sioux Falls, SD 57106-4230
Phone (605) 275-4494

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Organizations & group practices 1

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": "1248307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248307200000",
    "number": "1679703649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5032 S BUR OAK PL",
            "address_2": "120",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571082243",
            "telephone_number": "605-999-9071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5032 S BUR OAK PL",
            "address_2": "120",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571082243",
            "telephone_number": "605-999-9071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REINER",
        "first_name": "JUSTIN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-23",
        "last_updated": "2009-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "1152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2009; 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.