Organization Active NPI

Reyes Family Chiropractic

  • Chiropractor
  • Charleston, SC
National Provider Identifier
1740727676
Registry record updated Jan 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4110 Issued in SC
Legal business name
REYES FAMILY CHIROPRACTIC
Practice address
1890 Sam Rittenberg Blvd Ste 223
Charleston, SC 29407-4801
Phone
(843) 225-8414
Fax
(843) 282-7784
NPI assigned
Jan 30, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2018

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

Authorized official

Name
Mrs. Laura Reyes
Title
Operations
Phone
(843) 225-8414

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4110 SC Primary
Sports Physician ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NS0005X 4110 SC

Addresses

Primary practice location

1890 Sam Rittenberg Blvd Ste 223
Charleston, SC 29407-4801

Mailing address

1890 Sam Rittenberg Blvd Ste 223
Charleston, SC 29407-4801
Phone (843) 225-8414

Other names 1

  • Reyes Family Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180112001729 SC Part B Supplier - Clinic/Group Practice 6305105636 Receives reassigned benefits from 1 practitioner
Practice locations: Charleston, SC

National Provider Directory

National Provider Directory

Locations

1890 Sam Rittenberg Blvd
Ste 223
Charleston, SC 29407
Phone (843) 225-8414

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1485734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515715200000",
    "number": "1740727676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1890 SAM RITTENBERG BLVD STE 223",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294074801",
            "telephone_number": "843-225-8414",
            "fax_number": "843-282-7784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 SAM RITTENBERG BLVD STE 223",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294074801",
            "telephone_number": "843-225-8414",
            "fax_number": "843-282-7784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REYES FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-30",
        "last_updated": "2018-01-12",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "OPERATIONS",
        "authorized_official_telephone_number": "843-225-8414",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "4110",
            "primary": true
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "SC",
            "license": "4110",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reyes Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.