Christian Herman Reichardt, D.C.

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

DC16824 Issued in CA

Practice address

1347 23Rd St # S102
Santa Monica, CA 90404-2025

Phone

(310) 829-0453

Fax

(310) 829-0455

NPI assigned

Apr 12, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Nowysz Regenerative Medicine PC

  • Family Medicine Physician
  • Yucca Valley, CA
  • NPI 1154970317
  NPD Authorized official

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377734400000",
    "number": "1710101407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1347 23RD ST # S102",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042025",
            "telephone_number": "310-829-0453",
            "fax_number": "310-829-0455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1347 23RD ST # S102",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042025",
            "telephone_number": "310-829-0453",
            "fax_number": "310-829-0455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REICHARDT",
        "first_name": "CHRISTIAN",
        "middle_name": "HERMAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-12",
        "last_updated": "2013-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "CA",
            "license": "DC16824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rehabilitation Center of Santa Monica Operating Company, LP
• Rehabnet Outpatient Center
• Rehabnet Outpatient Center
• Rehabnet Outpatient Center
• Grant Stephen Robert Rehfeld
• Terry A. Reichelderfer, M.D.
• Susan Helene Reichmann, M.A.
• Davis Reid, PT
• Kimberly D Reid, LAC
• Reignite Rehab and Physical Therapy Inc

• Sports Physician Chiropractor in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Sports Physician Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2013; 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.