Individual provider Active NPI

Jay Timothy Reeder, D.C.

  • Chiropractor
  • Centre Hall, PA
National Provider Identifier
1912055013
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC009745 Issued in PA
Practice address
222 North Pennsylvania Ave
Centre Hall, PA 16828-9105
Phone
(814) 933-6744
NPI assigned
Jan 8, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC009745 PA Primary

Addresses

Primary practice location

222 North Pennsylvania Ave
Centre Hall, PA 16828-9105

Mailing address

2519 Earlystown Rd
Centre Hall, PA 16828-9105
Phone (814) 364-1849

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080609000510 PA Practitioner - Chiropractic 0941370514 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Care Chiropractic LLCGroup PAC ID 9133215676, 3 clinicians

Practice addresses (Care Compare)

2009 W Market St
Lewisburg, PA 17837-9601
Phone (570) 523-1221

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC009745PAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Care Chiropractic LLC Chiropractor CurrentSince Dec 30, 2012 Accepting new patients
Williamsport Wellness Center Inc. Chiropractor PastSince Mar 20, 2022 Accepting new patients
Jenifer L. Dewald, DC PC Chiropractor PastSince Mar 1, 2003 Accepting new patients

Locations

2009 W Market St
Lewisburg, PA 17837
Phone (570) 523-1221

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912055013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2519 EARLYSTOWN RD",
            "city": "CENTRE HALL",
            "state": "PA",
            "postal_code": "168289105",
            "telephone_number": "814-364-1849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 NORTH PENNSYLVANIA AVE",
            "city": "CENTRE HALL",
            "state": "PA",
            "postal_code": "168289105",
            "telephone_number": "814-933-6744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REEDER",
        "first_name": "JAY",
        "middle_name": "TIMOTHY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC009745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centre Hall, PA

Sources for this page

  • 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.