Active NPI
Ernest Reager
- Chiropractor
- Williamsburg, VA
National Provider Identifier
1962778464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0104001491
- Practice address
- 5408 Discovery Park Blvd Ste 200
Williamsburg, VA 23188-2893 - Phone
- (757) 220-8552
- Fax
- (757) 220-0162
- NPI assigned
- Mar 28, 2012
- Sex
- Male
- Sole proprietor
- No
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 | 0104001491 | VA | Primary |
Addresses
Primary practice location
5408 Discovery Park Blvd Ste 200
Williamsburg, VA 23188-2893
Mailing address
8862 Piney Branch LN
Providence Forge, VA 23140-3318
Phone (804) 683-2580
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0104001491 | Other | VA | LICENSE NUMBER |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0104001491 | VA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Esprit Health Incorporated, LLC | Past | Accepting new patients | |
| Pinto Family Chiropractic, PLC | Chiropractor | Past | Accepting new patients |
| Middletown Health Wellness Chiropractic PC | Chiropractor | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- Williamsburg, VA
- NPI 1891454260
-
- Chiropractor
- Williamsburg, VA
- NPI 1619995560
-
- Chiropractor
- Middletown, NY
- NPI 1306601570
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332892800000",
"number": "1962778464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8862 PINEY BRANCH LN",
"city": "PROVIDENCE FORGE",
"state": "VA",
"postal_code": "231403318",
"telephone_number": "804-683-2580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5408 DISCOVERY PARK BLVD STE 200",
"city": "WILLIAMSBURG",
"state": "VA",
"postal_code": "231882893",
"telephone_number": "757-220-8552",
"fax_number": "757-220-0162"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REAGER",
"first_name": "ERNEST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-03-28",
"last_updated": "2012-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "VA",
"license": "0104001491",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "0104001491",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Williamsburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.