Individual provider Active NPI

Jonathon Heath Reich, DC

  • Chiropractor
  • Cisco, TX
National Provider Identifier
1962076646
Registry record updated Aug 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
14705 Issued in TX
Practice address
1498 I 20 W
Cisco, TX 76437-3672
Phone
(254) 442-7643
NPI assigned
May 17, 2021
Last updated
Aug 30, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 14705 TX Primary

Addresses

Primary practice location

1498 I 20 W
Cisco, TX 76437-3672

Mailing address

1700 Conrad Hilton Blvd
Cisco, TX 76437-4857
Phone (254) 784-3309

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
14705TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Cisco Chiropractic LLC Chiropractor CurrentSince Sep 5, 2023 Accepting new patients
Comprehensive Injury Treatment Services PLLC Past Accepting new patients

Locations

1498 Interstate 20 W
Cisco, TX 76437
Phone (254) 442-7643

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, 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": "1621209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693353600000",
    "number": "1962076646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 CONRAD HILTON BLVD",
            "city": "CISCO",
            "state": "TX",
            "postal_code": "764374857",
            "telephone_number": "254-784-3309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1498 I 20 W",
            "city": "CISCO",
            "state": "TX",
            "postal_code": "764373672",
            "telephone_number": "254-442-7643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REICH",
        "first_name": "JONATHON",
        "middle_name": "HEATH",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-17",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "14705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2023; 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.