Active NPI
Robert Mark Reeves, D.C.
- Chiropractor
- Covington, KY
National Provider Identifier
1932285707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4162
- Practice address
- 3631 Decoursey Ave
Covington, KY 41015-1436 - Phone
- (859) 431-2273
- Fax
- (859) 431-6937
- NPI assigned
- Oct 27, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4162 | KY | Primary |
Addresses
Primary practice location
3631 Decoursey Ave
Covington, KY 41015-1436
Mailing address
PO Box 15005
Covington, KY 41015-0005
Phone (859) 431-2273
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 85001121 | Medicaid | KY | |
| T831 | Other | KY | BLUE CROSS/ BLUE SHIELD |
| 611231711 | Other | KY | FEDERAL TAX ID |
| 000000032630 | Other | KY | ANTHEM BC/BS |
| 350027855 | Other | KY | RAILROAD MEDICARE |
| 4162C | Other | KY | HUMANA/CHOICE CARE |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398124800000",
"number": "1932285707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 15005",
"city": "COVINGTON",
"state": "KY",
"postal_code": "410150005",
"telephone_number": "859-431-2273",
"fax_number": "859-431-6937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3631 DECOURSEY AVE",
"city": "COVINGTON",
"state": "KY",
"postal_code": "410151436",
"telephone_number": "859-431-2273",
"fax_number": "859-431-6937"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REEVES",
"first_name": "ROBERT",
"middle_name": "MARK",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-27",
"last_updated": "2014-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "KY",
"license": "4162",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "85001121",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/ BLUE SHIELD",
"identifier": "T831",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDERAL TAX ID",
"identifier": "611231711",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC/BS",
"identifier": "000000032630",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "350027855",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA/CHOICE CARE",
"identifier": "4162C",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Covington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.