Individual provider Active NPI

David Robert Reich, D.C.

  • Chiropractor
  • Richmond Hill, NY
National Provider Identifier
1811135312
Registry record updated Jan 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X2997 Issued in NY
Practice address
8610 117TH St
Richmond Hill, NY 11418-1708
Phone
(718) 847-5252
Fax
(718) 847-5303
NPI assigned
Jan 22, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 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 X2997 NY Primary

Addresses

Primary practice location

8610 117TH St
Richmond Hill, NY 11418-1708

Mailing address

8610 117TH St
Richmond Hill, NY 11418-1708
Phone (718) 847-5252

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120509000058 NY Practitioner - Chiropractic 0648432609 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

13420 Jamaica Ave
Jamaica, NY 11418-2619
Phone (718) 206-8381

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X2997NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Richmond Hill Chiropractic PC Chiropractor CurrentSince Mar 27, 2001 Accepting new patients

Locations

13420 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6742

13420 Jamaica Ave
Fl 3
Richmond Hill, NY 11418
Phone (718) 206-6980

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1232582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232582400000",
    "number": "1811135312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8610 117TH ST",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "114181708",
            "telephone_number": "718-847-5252",
            "fax_number": "718-847-5303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8610 117TH ST",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "114181708",
            "telephone_number": "718-847-5252",
            "fax_number": "718-847-5303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REICH",
        "first_name": "DAVID",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-22",
        "last_updated": "2009-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X2997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond Hill, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.