David Russell Reuben, D.C.

Primary specialty

Radiology ChiropractorTaxonomy code 111NR0200X

License

DC18156 Issued in CA

Practice address

28504 Sand Canyon Rd
#71
Canyon Country, CA 91387-2155

Phone

(661) 810-5526

Fax

(661) 252-8798

NPI assigned

Apr 17, 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418774400000",
    "number": "1720204233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28504 SAND CANYON RD",
            "address_2": "#71",
            "city": "CANYON COUNTRY",
            "state": "CA",
            "postal_code": "913872155",
            "telephone_number": "661-810-5526",
            "fax_number": "661-252-8798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28504 SAND CANYON RD",
            "address_2": "#71",
            "city": "CANYON COUNTRY",
            "state": "CA",
            "postal_code": "913872155",
            "telephone_number": "661-810-5526",
            "fax_number": "661-252-8798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REUBEN",
        "first_name": "DAVID",
        "middle_name": "RUSSELL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-17",
        "last_updated": "2014-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0200X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Radiology",
            "state": "CA",
            "license": "DC18156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTIC",
            "identifier": "11",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Radiology Chiropractor in Canyon Country, CA
• Providers in Canyon Country, CA by specialty
• Radiology Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2014; 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.