NPIMap

Organization Active NPI

Reeder Chiropractic, P.a.

  • Chiropractor
  • Summerville, SC
National Provider Identifier
1801075312
Registry record updated Oct 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
SC1246 Issued in SC
Legal business name
REEDER CHIROPRACTIC, P.A.
Practice address
112 W Doty Ave
Suite B
Summerville, SC 29483-6085
Phone
(843) 871-5055
Fax
(843) 871-5051
NPI assigned
Oct 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2007

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

Authorized official

Name
Dr. John Jay Reeder, D.C.
Title
President
Phone
(843) 871-5055

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X SC1246 SC Primary

Addresses

Primary practice location

112 W Doty Ave
Suite B
Summerville, SC 29483-6085

Mailing address

112 W Doty Ave
Suite B
Summerville, SC 29483-6085
Phone (843) 871-5055

National Provider Directory

National Provider Directory

Locations

625 Main St
Lewiston, ME 04240
Phone (207) 577-5893

112 W Doty Ave
Ste B
Summerville, SC 29483
Phone (843) 871-5055

Practitioners & affiliated clinicians

Practitioners 3

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": "1193788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193788800000",
    "number": "1801075312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 W DOTY AVE",
            "address_2": "SUITE B",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294836085",
            "telephone_number": "843-871-5055",
            "fax_number": "843-871-5051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 W DOTY AVE",
            "address_2": "SUITE B",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294836085",
            "telephone_number": "843-871-5055",
            "fax_number": "843-871-5051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REEDER CHIROPRACTIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-31",
        "last_updated": "2007-10-31",
        "status": "A",
        "authorized_official_last_name": "REEDER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-871-5055",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "SC1246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.