Active NPI
Dustin Alan Reeson, D.C.
- Chiropractor
- Cross Plains, WI
National Provider Identifier
1780757815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4130-012
- Practice address
- 2034 Main St
Suite 4
Cross Plains, WI 53528-8855 - Phone
- (608) 798-3437
- NPI assigned
- Nov 16, 2006
- Last updated
- Apr 27, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4130-012 | WI | Primary |
Addresses
Primary practice location
2034 Main St
Suite 4
Cross Plains, WI 53528-8855
Mailing address
3029 Allies LN
Cross Plains, WI 53528-9264
Phone (563) 940-1600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38960900 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2034 Main St
Suite 4
Cross Plains, WI 53528-8855
Phone (608) 798-3437
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4130-012 | WI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reeson Chiropractic LLC | Chiropractor | Current | Accepting new patients |
Locations
2034 Main St
Ste 4
Cross Plains, WI 53528
Phone (608) 778-3437
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Cross Plains, WI
- NPI 1235287582
-
- Health Service Clinic/Center
- Black Earth, WI
- NPI 1902146160
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1240790400000",
"number": "1780757815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3029 ALLIES LN",
"city": "CROSS PLAINS",
"state": "WI",
"postal_code": "535289264",
"telephone_number": "563-940-1600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2034 MAIN ST",
"address_2": "SUITE 4",
"city": "CROSS PLAINS",
"state": "WI",
"postal_code": "535288855",
"telephone_number": "608-798-3437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REESON",
"first_name": "DUSTIN",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-16",
"last_updated": "2009-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "4130-012",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "38960900",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cross Plains, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2009; 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.