DR. JEREMY S REISTER


Address: 14050 Fruit Ridge Ave, Kent City, MI 49330-8922
Phone: 6163785538

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 111N00000X Chiropractor 2301009144 MI Chiropractic Providers

Other Provider Identifier

State Issuer Identifier Type Code
MI LICENSE NUMBER 2301009144 01
MI CAQH 11553234 01
MI 4873635 05

Office Location

Street Address 14050 FRUIT RIDGE AVE
City KENT CITY
State MI
Zip Code 49330-8922

Providers in the same location

NPI Name Taxonomy Address Enumeration
1770644932 Js Reister Dc Pllc Chiropractor 14050 Fruit Ridge Ave, Kent City, MI 49330-8922 2006-12-12

Providers in the same zip code

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 Information

Taxonomy Code 111N00000X
Grouping Chiropractic Providers
Classification Chiropractor

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1770644932 Js Reister Dc Pllc Chiropractor 14050 Fruit Ridge Ave, Kent City, MI 49330-8922 2006-12-12

Providers in the same taxonomy and state

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

Competitor

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City KENT CITY
Zip Code 49330

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Dataset Information

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.

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