Provider Demographics
NPI:1912108531
Name:DON REITH, DC, PA
Entity Type:Organization
Organization Name:DON REITH, DC, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PA
Authorized Official - Prefix:DR
Authorized Official - First Name:DON
Authorized Official - Middle Name:
Authorized Official - Last Name:REITH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:913-583-3700
Mailing Address - Street 1:33255 LEXINGTON AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:DE SOTO
Mailing Address - State:KS
Mailing Address - Zip Code:66018-7201
Mailing Address - Country:US
Mailing Address - Phone:913-583-3700
Mailing Address - Fax:913-585-3036
Practice Address - Street 1:33255 LEXINGTON AVE
Practice Address - Street 2:SUITE B
Practice Address - City:DE SOTO
Practice Address - State:KS
Practice Address - Zip Code:66018-7201
Practice Address - Country:US
Practice Address - Phone:913-583-3700
Practice Address - Fax:913-585-3036
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS4963111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO36044019OtherBCBS PROVIDER # KC, MO
MO36025012OtherBCBS GROUP #, KC, MO
KS207466Medicare ID - Type UnspecifiedPROVIDER NUMBER
MO36025012OtherBCBS GROUP #, KC, MO