Organization Active NPI

Reese Chiropractic and Wellness, P.C.

  • Chiropractor
  • Stillwater, OK
National Provider Identifier
1902020449
Registry record updated Aug 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3614 Issued in OK
Legal business name
REESE CHIROPRACTIC AND WELLNESS, P.C.
Practice address
1505 S Sangre Rd
Stillwater, OK 74074
Phone
(405) 372-9200
Fax
(405) 372-9203
NPI assigned
Apr 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2011

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

Authorized official

Name
J Weston Heath Reese, D.C.NPI 1164463246
Title
President
Phone
(405) 372-9200

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 3614 OK Primary

Addresses

Primary practice location

1505 S Sangre Rd
Stillwater, OK 74074

Mailing address

1505 S Sangre Rd
Stillwater, OK 74074
Phone (405) 372-9200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060203000117 OK Part B Supplier - Clinic/Group Practice 8628082237 Receives reassigned benefits from 3 practitioners
Practice locations: Stillwater, OK

National Provider Directory

National Provider Directory

Locations

1415 S Western Rd
Stillwater, OK 74074
Phone (405) 372-9200

Interoperability endpoints

  • Direct secure messaging: 1drreese@rcaw0002.direct.chirotouch.md

Practitioners & affiliated clinicians

Practitioners 3

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": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314316800000",
    "number": "1902020449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 S SANGRE RD",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "74074",
            "telephone_number": "405-372-9200",
            "fax_number": "405-372-9203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 S SANGRE RD",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "74074",
            "telephone_number": "405-372-9200",
            "fax_number": "405-372-9203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REESE CHIROPRACTIC AND WELLNESS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2011-08-26",
        "status": "A",
        "authorized_official_last_name": "REESE",
        "authorized_official_first_name": "J WESTON",
        "authorized_official_middle_name": "HEATH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-372-9200",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stillwater, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2011; 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.