NPIMap

Organization Active NPI

Reilly Chriopractic, Inc.

  • Chiropractor
  • Milford, OH
National Provider Identifier
1962661447
Registry record updated Nov 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1521 Issued in OH
Legal business name
REILLY CHRIOPRACTIC, INC.
Practice address
777 Main St
Milford, OH 45150-1786
Phone
(513) 831-3800
Fax
(513) 831-3857
NPI assigned
Jun 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2012

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

Authorized official

Name
Dr. Daniel James Reilly, D.C.
Title
Owner
Phone
(513) 831-3800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1521 OH Primary

Addresses

Primary practice location

777 Main St
Milford, OH 45150-1786

Mailing address

777 Main St
Milford, OH 45150-1786
Phone (513) 831-3800

Other identifiers 1

IdentifierTypeStateIssuer
0826039MedicaidOH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352937600000",
    "number": "1962661447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 MAIN ST",
            "city": "MILFORD",
            "state": "OH",
            "postal_code": "451501786",
            "telephone_number": "513-831-3800",
            "fax_number": "513-831-3857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 MAIN ST",
            "city": "MILFORD",
            "state": "OH",
            "postal_code": "451501786",
            "telephone_number": "513-831-3800",
            "fax_number": "513-831-3857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REILLY CHRIOPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-09",
        "last_updated": "2012-11-15",
        "status": "A",
        "authorized_official_last_name": "REILLY",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-831-3800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "1521",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0826039",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; 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.