NPIMap

Organization Active NPI

Reed Chiropractic, Inc

Doing business as 111th St ARC Wellness

  • Chiropractor
  • Chicago, IL
National Provider Identifier
1689914806
Registry record updated Jun 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038004424 Issued in IL
Legal business name
REED CHIROPRACTIC, INC
Doing business as
111th St ARC Wellness
Practice address
3301 W 111TH St
Chicago, IL 60655-2715
Phone
(773) 259-8943
Fax
(773) 881-8182
NPI assigned
Feb 25, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2013

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

Authorized official

Name
Dr. Donald Lynn Reed, DC
Title
Owner
Phone
(773) 881-0888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 038004424 IL Primary

Addresses

Primary practice location

3301 W 111TH St
Chicago, IL 60655-2715

Mailing address

3301 W 111TH St
Chicago, IL 60655-2715
Phone (773) 259-8943

Other names 1

  • 111th St ARC Wellness Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1361750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371427200000",
    "number": "1689914806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 W 111TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606552715",
            "telephone_number": "773-259-8943",
            "fax_number": "773-881-8182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 W 111TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606552715",
            "telephone_number": "773-259-8943",
            "fax_number": "773-881-8182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REED CHIROPRACTIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-25",
        "last_updated": "2013-06-17",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-881-0888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038004424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "111th St ARC Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2013; 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.