DR. JEREMY S REISTER (NPI# 1417927427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417927427 |
Entity Type | Individual |
Full Name | DR. JEREMY S REISTER |
Credential | DC |
Practice Address |
14050 Fruit Ridge Ave Kent City MI 49330-8922 |
Mailing Address |
4310 Leonard St Nw Suite 103 Walker MI 49534-8447 |
Practice Telephone | 6163785538 |
Practice Fax Number | 6163994491 |
Mailing Telephone | 6164536329 |
Mailing Fax Number | 6164531725 |
Enumeration Date | 2006-01-23 |
Last Update Date | 2016-04-27 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111N00000X | Chiropractor | 2301009144 | MI | Chiropractic Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | LICENSE NUMBER | 2301009144 | 01 |
MI | CAQH | 11553234 | 01 |
MI | 4873635 | 05 |
Street Address |
14050 FRUIT RIDGE AVE |
City | KENT CITY |
State | MI |
Zip Code | 49330-8922 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770644932 | Js Reister Dc Pllc | Chiropractor | 14050 Fruit Ridge Ave, Kent City, MI 49330-8922 | 2006-12-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255948063 | Taylor Elizabeth Dent | Social Worker | [email protected], 11 N Clover St, Kent City, MI 49330 | 2020-09-25 |
1356487839 | Janet Price Ringer | Pharmacist | 6 South Main Street, Kent City, MI 49330 | 2007-01-30 |
1952460222 | Lynda Anderson | Pharmacy Technician | 6 S. Main St., Kent City, MI 49330 | 2006-12-06 |
1043229917 | Michael Todd Watkins | Dentist | 52 S. Main St., Suite A, Kent City, MI 49330 | 2006-08-07 |
1902823446 | Melissa Sue Hills | Pharmacist | 6 S Main St, Grices Pharmacy, Kent City, MI 49330 | 2006-07-17 |
1760428783 | Hometown Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 6 S Main St, Kent City, MI 49330-0276 | 2006-06-20 |
1144788415 | Roxanne Marie Bliss | Specialist/Technologist | 15553 Barber Creek Ave, Kent City, MI 49330-9075 | 2019-03-06 |
1730631235 | Natalie Kok | Physical Therapy Assistant | 3700 Ivah Dr, Kent City, MI 49330-9119 | 2016-10-31 |
1063936417 | Rebecca Sue Freeland | Registered Nurse | 4191 21 Mile Rd, Kent City, MI 49330-9400 | 2017-07-27 |
1497103428 | Susan Allen | Technician, Other | 16049 Peach Ridge Ave, Kent City, MI 49330-9758 | 2016-05-31 |
Find all providers in zip 49330 |
Taxonomy Code | 111N00000X |
Grouping | Chiropractic Providers |
Classification | Chiropractor |
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770644932 | Js Reister Dc Pllc | Chiropractor | 14050 Fruit Ridge Ave, Kent City, MI 49330-8922 | 2006-12-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548860240 | Moriah K Severance | Chiropractor | 2449 W Kimmel Rd, Jackson, MI 49201-9783 | 2020-10-30 |
1760082465 | David Scott Severance | Chiropractor | 11720 Tompkins Rd, Rives Junction, MI 49277-9629 | 2020-10-30 |
1760082705 | Kelly Chiropractic Clinic, LLC | Chiropractor | 3179 12 Mile Rd, Berkley, MI 48072-1339 | 2020-10-29 |
1619584273 | Sydnee Laree Rutledge | Chiropractor | 3634 Mccain Rd Ste 7, Jackson, MI 49203-2576 | 2020-09-28 |
1790391860 | Ferras Dassouki | Chiropractor | 1126 Hunter Ct, Milford, MI 48381-3180 | 2020-09-23 |
1811503972 | Nicholas Heiserman | Chiropractor | 498 E Monroe St, Dundee, MI 48131-1321 | 2020-09-23 |
1114532835 | Pro-active Chiropractic Wellness of Grand Rapids | Chiropractor | 4270 Plainfield Ave Ne # E, Grand Rapids, MI 49525-1603 | 2020-09-10 |
1215540463 | Lake State Chiropractic Pllc | Chiropractor | 2155 84th St Sw Ste 4, Byron Center, MI 49315-8259 | 2020-08-27 |
1609488402 | Primrose Family Chiropractic and Wellness Center | Chiropractor | 25900 Greenfield Rd Suite 252, Oak Park, MI 48237-1297 | 2020-08-21 |
1780295063 | Wilhelm Family Chiropractic and Massage Pllc | Chiropractor | 23200 Pontiac Trl, South Lyon, MI 48178-1983 | 2020-08-11 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on DR. JEREMY S REISTER.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.