Individual provider Active NPI

Ernest Reager

  • Chiropractor
  • Williamsburg, VA
National Provider Identifier
1962778464
Registry record updated Mar 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104001491 Issued in VA
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

Updated by the provider on Mar 28, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0104001491OtherVALICENSE 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

LicenseStateTypeSpecialty
0104001491VAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Esprit Health Incorporated, LLC PastSince Dec 21, 2021 Accepting new patients
Pinto Family Chiropractic, PLC Chiropractor PastSince Jan 1, 2001 Accepting new patients
Middletown Health Wellness Chiropractic PC Chiropractor PastSince Feb 18, 2024 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.

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.

Verify at the official NPI Registry.