Dale Eugene Reynolds, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104001332 Issued in VA

Practice address

920 Plantation Rd
Ste 104
Blacksburg, VA 24060-3835

Phone

(540) 951-1183

Fax

(540) 951-1138

NPI assigned

Feb 1, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College - West, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Reynolds Chiropractic, LLC

  • Chiropractor
  • Roanoke, VA
  • NPI 1225756067
  Medicare reassignment NPD Authorized official
• The Hearing Clinic

  • Audiologist
  • Blacksburg, VA
  • NPI 1023116795
  NPD (past)
• Tilley Chiropractic and Sports Injury Clinic

  • Chiropractor
  • Blacksburg, VA
  • NPI 1871763763
  NPD (past)

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196726400000",
    "number": "1881732014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 PLANTATION RD",
            "address_2": "STE 104",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240603835",
            "telephone_number": "540-951-1183",
            "fax_number": "540-951-1138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 PLANTATION RD",
            "address_2": "STE 104",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240603835",
            "telephone_number": "540-951-1183",
            "fax_number": "540-951-1138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "DALE",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-01",
        "last_updated": "2007-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104001332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shawn Reeves
• Kathryn Estill Reilly, MSR, PT
• Katherine McNamee Reinholtz, ND
• Nicholas Restrepo, LPTA
• Alice Reynolds, PHARMD
• Tracey Rhodes, CRNA
• David P Ribbe, PHD
• Kadin Ribble
• Christina Rice
• Ashley Richards, MS, CCC-SLP

• Chiropractor in Blacksburg, VA
• Providers in Blacksburg, VA by specialty
• Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.