Active NPI
Justin Reid, D.C.
- Chiropractor
- Bremerton, WA
National Provider Identifier
1962807131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 60505989
- Practice address
- 1487 NE Dawn Rd
Bremerton, WA 98311-3122 - Phone
- (360) 373-8899
- NPI assigned
- Oct 29, 2014
- 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 | 60505989 | WA | Primary |
Addresses
Primary practice location
1487 NE Dawn Rd
Bremerton, WA 98311-3122
Mailing address
1128 N 28TH St
Tacoma, WA 98403-2916
Phone (503) 964-3050
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
| License | State | Type | Specialty |
|---|---|---|---|
| 60505989 | WA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414540800000",
"number": "1962807131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1128 N 28TH ST",
"city": "TACOMA",
"state": "WA",
"postal_code": "984032916",
"telephone_number": "503-964-3050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1487 NE DAWN RD",
"city": "BREMERTON",
"state": "WA",
"postal_code": "983113122",
"telephone_number": "360-373-8899"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REID",
"first_name": "JUSTIN",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-10-29",
"last_updated": "2014-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "60505989",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bremerton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.