Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | DC006207L | PA |
N | 111NR0400X | Rehabilitation Chiropractor | 0008197 | CO |
N | 111NR0400X | Rehabilitation Chiropractor | DC-006207-L | PA |
N | 111NS0005X | Chiropractic Sports Physician | DC-OO6207-L | PA |
NPI | 1124053905 |
---|---|
Provider Name | Dr. Danniell Jesus Reyes |
First Address | Thornton, CO 80229-4478 |
Second Address | Westminster, CO 80021-4515 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2006 |
Last Update Date | 13/05/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01877901 | ASHN IND. (01) | PA |
026517000 | PERSONAL CHOICE (01) | PA |
0265170000 | IND. BC/BS (01) | PA |
02754900 | ASHN GROUP (01) | PA |
02754900 | KEYSTONE CENTRAL GROUP (01) | PA |
1146297 | AMERIHEALTH MERCY (01) | PA |
1445656 | BLUE CARD /BS (01) | PA |
1528871 | GATEWAY (01) | PA |
2141296000 | IND. BC/BS GROUP (01) | PA |
2141296000 | KEYSTONE EAST GROUP (01) | PA |
2141296000 | PERSONAL CHOICE GROUP (01) | PA |
233046549 | UNITED HEALTH CARE (01) | PA |
265170001 | KEYSTONE EAST (01) | PA |
3000378 | KEYSTONE CENTRAL (01) | PA |
506314 | AMERIHEALTH ADMIN. (01) | PA |
7957156 | AETNA (01) | PA |
RE026835 | (02) | PA |