Active NPI
Mark Reid, D.C., L.AC
- Neurology Chiropractor
- Fort Collins, CO
National Provider Identifier
1902061732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Chiropractor
- License
- 3981
- Practice address
- 375 E Horsetooth Rd
Building #2 Suite 201
Fort Collins, CO 80525-3155 - Phone
- (970) 204-1224
- NPI assigned
- Jul 21, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internist Chiropractor | 111NI0900X | 3981 | CO | |
| Neurology Chiropractor | 111NN0400X | 3981 | CO | Primary |
| Rehabilitation Chiropractor | 111NR0400X | 3981 | CO | |
| Sports Physician Chiropractor | 111NS0005X | 3981 | CO |
Addresses
Primary practice location
375 E Horsetooth Rd
Building #2 Suite 201
Fort Collins, CO 80525-3155
Mailing address
375 E Horsetooth Rd
Building #2 Suite 201
Fort Collins, CO 80525-3155
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3981 | CO | MD | Rehabilitation Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216598400000",
"number": "1902061732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "375 E HORSETOOTH RD",
"address_2": "BUILDING #2 SUITE 201",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805253155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "375 E HORSETOOTH RD",
"address_2": "BUILDING #2 SUITE 201",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805253155",
"telephone_number": "970-204-1224"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REID",
"first_name": "MARK",
"name_prefix": "Dr.",
"credential": "D.C., L.AC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-07-21",
"last_updated": "2008-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "111NI0900X",
"taxonomy_group": "",
"desc": "Chiropractor, Internist",
"state": "CO",
"license": "3981",
"primary": false
},
{
"code": "111NN0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Neurology",
"state": "CO",
"license": "3981",
"primary": true
},
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "CO",
"license": "3981",
"primary": false
},
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "CO",
"license": "3981",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.