Jeffrey Joseph Reilly, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1672 Issued in MA

Practice address

126 President Avenue
Fall River, MA 02720-2649

Phone

(508) 675-5700

Fax

(508) 675-5700

NPI assigned

Feb 5, 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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - West Sunnyvale, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881733996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 PRESIDENT AVENUE",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027202649",
            "telephone_number": "508-675-5700",
            "fax_number": "508-675-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 PRESIDENT AVENUE",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027202649",
            "telephone_number": "508-675-5700",
            "fax_number": "508-675-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REILLY",
        "first_name": "JEFFREY",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "1672",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF RI",
            "identifier": "267960",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MA",
            "identifier": "Y36176",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vanessa Demelo Rego, PTA
• Jason S. Reich, MD
• Joseph Aloysius Reidy III, DMD
• Donna Elizabeth Reilly-Askew, LICSW
• Diane M. Reilly, C.R.N.A.
• Jennifer Lyn Reilly, NP
• Melissa Jean Reilly, P.T.
• Kellie Ann Reis
• Maria Constance Reis, N.P.
• Nicole L Reis, MS, CCC-SLP

• Chiropractor in Fall River, MA
• Providers in Fall River, MA by specialty
• Chiropractor in Massachusetts

• 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.