Active NPI
Sean Alan Reese, D.C.
- Sports Physician Chiropractor
- Wilmington, NC
National Provider Identifier
1821035692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- 2068
- Practice address
- 2210 Wrightsville Ave
Suite 3C
Wilmington, NC 28403-2406 - Phone
- (910) 392-3100
- NPI assigned
- Jun 1, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | 2068 | NC | Primary |
Addresses
Primary practice location
2210 Wrightsville Ave
Suite 3C
Wilmington, NC 28403-2406
Mailing address
1118 Country Club Rd
Wilmington, NC 28403-2517
Phone (910) 343-2900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 890876N | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College - West, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2210 Wrightsville Ave
Suite 3C
Wilmington, NC 28403-2575
Phone (910) 392-3100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2068 | NC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beasley, Inc. | Sports Physician | Current | Accepting new patients |
| Blue Ridge Health and Spine, PLLC | Past | Accepting new patients |
Locations
2210 Wrightsville Ave
Ste 3C
Wilmington, NC 28403
Phone (910) 392-3100
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 and National Provider Directory roles.
-
- Sports Physician Chiropractor
- Wilmington, NC
- NPI 1154427110
-
- Chiropractor
- Shallotte, NC
- NPI 1497204101
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1821035692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1118 COUNTRY CLUB RD",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284032517",
"telephone_number": "910-343-2900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2210 WRIGHTSVILLE AVE",
"address_2": "SUITE 3C",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284032406",
"telephone_number": "910-392-3100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REESE",
"first_name": "SEAN",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "NC",
"license": "2068",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "890876N",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.