Individual provider Active NPI

Lloyd Charles Reiter, N.D. , D.C.

  • Chiropractor
  • Portland, OR
National Provider Identifier
1952476590
Registry record updated Dec 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X0043841 Issued in NY
Practice address
522 NW 12TH Ave
Portland, OR 97209-3001
Phone
(503) 227-2886
NPI assigned
Nov 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X0043841 NY Primary

Addresses

Primary practice location

522 NW 12TH Ave
Portland, OR 97209-3001

Mailing address

4835 SE Paladin LN
Hillsboro, OR 97123-7545
Phone (516) 650-8019

Other practice location 1

833 SW 11th Ave Ste 525
Portland, OR 97205-2131
Phone (503) 294-7070

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

State licenses

LicenseStateTypeSpecialty
X0043841NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Pentimento, Inc. Past Accepting new patients
Wise Chiropractic, LLC Chiropractor PastSince Sep 5, 2023 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545264000000",
    "number": "1952476590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4835 SE PALADIN LN",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971237545",
            "telephone_number": "516-650-8019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 NW 12TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972093001",
            "telephone_number": "503-227-2886"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "833 SW 11th Ave Ste 525",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972052131",
            "country_code": "US",
            "telephone_number": "503-294-7070",
            "fax_number": "971-200-8962",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REITER",
        "first_name": "LLOYD",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "N.D. , D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2018-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X0043841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.