Kevin K. Reiseck D.C. P.a.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH8380 Issued in FL

Legal business name

KEVIN K. REISECK D.C. P.A.

Practice address

6447 Miami Lakes Dr E
Suite 206
Miami Lakes, FL 33014-2741

Phone

(305) 512-4079

Fax

(305) 512-4117

NPI assigned

May 14, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Kevin K Reiseck, D.C.NPI 1659462349

Title

Chiropractor

Phone

(305) 512-4079

Specialties & licenses 1

Addresses

Other names 1

• Advanced Health and Wellness Services Doing business as

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kevin Karl Reiseck, D.C.

  • Chiropractor
  • Miami, FL
  • NPI 1659462349
  NPD (past) Authorized official
• Carla Beatriz Catalan, D.C.

  • Chiropractor
  • Miami, FL
  • NPI 1609859016
  NPD (past)

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710192513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 4625",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "33014",
            "telephone_number": "305-733-1091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6447 MIAMI LAKES DR E",
            "address_2": "SUITE 206",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142741",
            "telephone_number": "305-512-4079",
            "fax_number": "305-512-4117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN K. REISECK D.C. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REISECK",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "305-512-4079",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Health and Wellness Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chiropractor in Miami Lakes, FL
• Providers in Miami Lakes, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.