Individual provider Active NPI

Reed A Pryor, DC

  • Chiropractor
  • Waterloo, IA
National Provider Identifier
1841362407
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
A05697 Issued in IA
Practice address
1955 Laporte Rd
Waterloo, IA 50702-2741
Phone
(319) 232-2166
Fax
(319) 232-0844
NPI assigned
Nov 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X A05697 IA Primary

Addresses

Primary practice location

1955 Laporte Rd
Waterloo, IA 50702-2741

Mailing address

1955 Laporte Rd
Waterloo, IA 50702-2741
Phone (319) 232-2166

Other identifiers 2

IdentifierTypeStateIssuer
58472OtherBCBS
0102582MedicaidIA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041119001080 IA Practitioner - Chiropractic 8921063884 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Better Health Chiropractic IncGroup PAC ID 5092894303, 2 clinicians

Practice addresses (Care Compare)

1955 Laporte Rd
Waterloo, IA 50702-2741
Phone (319) 232-2166

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Better Health Chiropractic, Inc. Chiropractor CurrentSince Jun 14, 1993 Accepting new patients

Locations

1955 Laporte Rd
Waterloo, IA 50702
Phone (319) 232-2166

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": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841362407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1955 LAPORTE RD",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507022741",
            "telephone_number": "319-232-2166",
            "fax_number": "319-232-0844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1955 LAPORTE RD",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507022741",
            "telephone_number": "319-232-2166",
            "fax_number": "319-232-0844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRYOR",
        "first_name": "REED",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "A05697",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "58472",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0102582",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterloo, IA

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.

Verify at the official NPI Registry.