Individual provider Active NPI

Jeffrey Scott Reeves, D.C.

  • Chiropractor
  • Virginia Beach, VA
National Provider Identifier
1740330513
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104556507 Issued in VA
Practice address
5350 Kempsriver Dr Ste 110
Virginia Beach, VA 23464-5370
Phone
(757) 424-2626
Fax
(757) 366-0129
NPI assigned
Jan 11, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104556507 VA Primary
Chiropractor 111N00000X 2688 SC

Addresses

Primary practice location

5350 Kempsriver Dr Ste 110
Virginia Beach, VA 23464-5370

Mailing address

5350 Kempsriver Dr Ste 110
Virginia Beach, VA 23464-5370
Phone (757) 424-2626

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2688SCMDProfessional Counselor
0104556507VAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Chiropractic & Rehabilition Center P.C. Chiropractor Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740330513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5350 KEMPSRIVER DR STE 110",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234645370",
            "telephone_number": "757-424-2626",
            "fax_number": "757-366-0129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5350 KEMPSRIVER DR STE 110",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234645370",
            "telephone_number": "757-424-2626",
            "fax_number": "757-366-0129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REEVES",
        "first_name": "JEFFREY",
        "middle_name": "SCOTT",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104556507",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "2688",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.