Individual provider Active NPI

Brent Thomas Reiche, DC

  • Chiropractor
  • Saco, ME
National Provider Identifier
1780762211
Registry record updated Jul 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CR1313 Issued in ME
Practice address
439 Main St
Saco, ME 04072-1528
Phone
(207) 571-8028
Fax
(866) 213-8207
NPI assigned
Nov 1, 2006
Last updated
Jul 8, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3726 WI
Chiropractor 111N00000X CR1313 ME Primary

Addresses

Primary practice location

439 Main St
Saco, ME 04072-1528

Mailing address

439 Main St
Saco, ME 04072-1528
Phone (207) 571-8028

Other identifiers 4

IdentifierTypeStateIssuer
MM937401OtherMEPTAN
U56702OtherMEHARVARD PILGRAM
022530OtherMEBLUE CROSS BLUE SHEILD
05Z044016ME02OtherMEFEDERAL EMPLOYEE PLANS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050603000837 ME Practitioner - Chiropractic 9032152780 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

331 N St
Unit 102
Saco, ME 04072
Phone (207) 571-8028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3726WIMDPsychologist
CR1313MEMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Active Chiropractic Limited Liability Company PA Chiropractor CurrentSince Nov 10, 2010 Accepting new patients

Locations

331 North St
Unit 102
Saco, ME 04072
Phone (207) 571-8028

810 Portland Rd
Saco, ME 04072
Phone (207) 571-8028

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, 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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436313600000",
    "number": "1780762211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "439 MAIN ST",
            "city": "SACO",
            "state": "ME",
            "postal_code": "040721528",
            "telephone_number": "207-571-8028",
            "fax_number": "866-213-8201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "439 MAIN ST",
            "city": "SACO",
            "state": "ME",
            "postal_code": "040721528",
            "telephone_number": "207-571-8028",
            "fax_number": "866-213-8207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REICHE",
        "first_name": "BRENT",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2015-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3726",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ME",
            "license": "CR1313",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "MM937401",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRAM",
            "identifier": "U56702",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "022530",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL EMPLOYEE PLANS",
            "identifier": "05Z044016ME02",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saco, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2015; 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.