Individual provider Active NPI

Michael D Reife, DC

  • Neurology Chiropractor
  • Marlborough, CT
National Provider Identifier
1710089263
Registry record updated Feb 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology ChiropractorTaxonomy code 111NN0400X
License
000719 Issued in CT
Practice address
8 Independence Dr
Suite 2
Marlborough, CT 06447-1408
Phone
(860) 295-1200
Fax
(860) 295-1201
NPI assigned
Sep 4, 2006
Last updated
Feb 25, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Chiropractor 111NN0400X 000719 CT Primary

Addresses

Primary practice location

8 Independence Dr
Suite 2
Marlborough, CT 06447-1408

Mailing address

8 Independence Dr
Suite 2
Marlborough, CT 06447-1408
Phone (860) 295-1200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051220000132 CT Practitioner - Chiropractic 9436171402 Practice locations: Marlborough, CT

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8 Independence Dr
Marlborough, CT 06447-1408
Phone (860) 295-1200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
719CTMDAcupuncturist

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": "1157328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203897600000",
    "number": "1710089263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 INDEPENDENCE DR",
            "address_2": "SUITE 2",
            "city": "MARLBOROUGH",
            "state": "CT",
            "postal_code": "064471408",
            "telephone_number": "860-295-1200",
            "fax_number": "860-295-1201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 INDEPENDENCE DR",
            "address_2": "SUITE 2",
            "city": "MARLBOROUGH",
            "state": "CT",
            "postal_code": "064471408",
            "telephone_number": "860-295-1200",
            "fax_number": "860-295-1201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REIFE",
        "first_name": "MICHAEL",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-04",
        "last_updated": "2008-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "CT",
            "license": "000719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlborough, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2008; 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.