Organization Active NPI

Reiley Chiropractic a Professional Chiropractic Corporation

  • Chiropractor
  • Aliso Viejo, CA
National Provider Identifier
1851458004
Registry record updated Aug 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
24205 Issued in CA
Legal business name
REILEY CHIROPRACTIC A PROFESSIONAL CHIROPRACTIC CORPORATION
Practice address
27131 Aliso Creek Rd
#105
Aliso Viejo, CA 92656-3363
Phone
(949) 448-9088
Fax
(949) 448-9096
NPI assigned
Jan 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2009

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

Authorized official

Name
Dr. James Reiley, DCNPI 1316194061
Title
Chiropractor
Phone
(949) 448-9088

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 24205 CA Primary

Addresses

Primary practice location

27131 Aliso Creek Rd
#105
Aliso Viejo, CA 92656-3363

Mailing address

27131 Aliso Creek Rd
#105
Aliso Viejo, CA 92656-3363
Phone (949) 448-9088

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090709000644 CA Part B Supplier - Clinic/Group Practice 2365594041 Receives reassigned benefits from 1 practitioner
Practice locations: Aliso Viejo, CA

National Provider Directory

National Provider Directory

Locations

27131 Aliso Creek Rd
Ste 105
Aliso Viejo, CA 92656
Phone (949) 448-9088

Practitioners & affiliated clinicians

Practitioners 1

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": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250553600000",
    "number": "1851458004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27131 ALISO CREEK RD",
            "address_2": "#105",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926563363",
            "telephone_number": "949-448-9088",
            "fax_number": "949-448-9096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27131 ALISO CREEK RD",
            "address_2": "#105",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926563363",
            "telephone_number": "949-448-9088",
            "fax_number": "949-448-9096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REILEY CHIROPRACTIC A PROFESSIONAL CHIROPRACTIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2009-08-18",
        "status": "A",
        "authorized_official_last_name": "REILEY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "949-448-9088",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "24205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aliso Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.