Individual provider Active NPI

Dustin Alan Reeson, D.C.

  • Chiropractor
  • Cross Plains, WI
National Provider Identifier
1780757815
Registry record updated Apr 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4130-012 Issued in WI
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, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
38960900MedicaidWI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050421000133 WI Practitioner - Chiropractic 7618915505 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
4130-012WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Reeson Chiropractic LLC Chiropractor CurrentSince Apr 20, 2005 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.

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.

Verify at the official NPI Registry.