Organization Active NPI

Lawrence J. Reis, D.C.,P.a.

  • Preferred Provider Organization
  • Kissimmee, FL
National Provider Identifier
1972792133
Registry record updated Oct 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
CH0001632 Issued in FL
Legal business name
LAWRENCE J. REIS, D.C.,P.A.
Practice address
1621 E Vine St
Kissimmee, FL 34744-3730
Phone
(407) 847-2898
Fax
(321) 442-1099
NPI assigned
Oct 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2007

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

Authorized official

Name
Dr. Lawrence J. Reis, D.C.,P.A.
Title
Owner
Phone
(407) 847-2898

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X CH0001632 FL
Preferred Provider Organization 305R00000X CH0001632 FL Primary

Addresses

Primary practice location

1621 E Vine St
Kissimmee, FL 34744-3730

Mailing address

1621 E Vine St
Kissimmee, FL 34744-3730
Phone (407) 847-2898

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193097600000",
    "number": "1972792133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 E VINE ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347443730",
            "telephone_number": "407-847-2898",
            "fax_number": "321-442-1099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 E VINE ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347443730",
            "telephone_number": "407-847-2898",
            "fax_number": "321-442-1099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE J. REIS, D.C.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-23",
        "last_updated": "2007-10-23",
        "status": "A",
        "authorized_official_last_name": "REIS",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-847-2898",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C.,P.A."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "FL",
            "license": "CH0001632",
            "primary": false
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "FL",
            "license": "CH0001632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2007; 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.