KEVIN PATRICK REIDER DC
NPI 1114616802
Chiropractor in Chicago, IL

Q: What is Kevin Reider's NPI number?

The NPI number for Kevin Reider is 1114616802. It was assigned to this individual provider in the NPPES registry on May 8, 2023.

Q: What is Kevin Reider's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Q: When was this NPI record last updated?

The NPPES record for Kevin Reider was last updated on May 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 08, 2023

6178 N NORTHWEST HWY, CHICAGO, IL 60631(773) 570-6404 Get Directions Write a Review

NPPES record last updated: May 8, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Kevin Patrick Reider Dc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEVIN PATRICK REIDER DC (NPI 1114616802) is an individual chiropractor in Chicago, Illinois, licensed in Illinois (038.013988) and active in the NPI registry since May 2023. He is a graduate of Palmer College Chiropractic - Davenport (2023).

NPPES Registry Identity

NPI1114616802

Entity TypeIndividualMale

Primary Taxonomy111N00000X

Provider Legal NameKEVIN PATRICK REIDERCredential: DC

Location Address6178 N NORTHWEST HWYChicago, IL 60631-2126

Mailing Address6178 N Northwest HwyChicago, IL 60631-2126 · (773) 570-6404

Phone(773) 570-6404

Sole ProprietorNo

Medical School CMSPalmer College Chiropractic - DavenportGraduated 2023

Enumeration DateMay 8, 2023

NPPES CertifiedMay 8, 2023

✔ NPI 1114616802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in IL · 038.013988

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.

6178 N NORTHWEST HWY, Chicago, IL 60631

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kevin Patrick Reider Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3971042953

PECOS Enrollment IDI20240822003219

Medicare Billing Reassignment

Medicare enrollment records show Kevin Reider reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Deep Roots Chiropractic & Wellness Center LLC

Same address

Chiropractor

6178 N NORTHWEST HWY
Chicago, IL 60631

Reassigned Medicare billing, Illinois enrollment

NPI 1750071874 (773) 570-6404

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941

Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.

48 services12 patients

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENEE ROSE MT

Massage Therapist

6178 N NORTHWEST HWY
CHICAGO, IL 60631

Cook County (773) 570-6404

DEEP ROOTS CHIROPRACTIC & WELLNESS CENTER LLC

Chiropractor

6178 N NORTHWEST HWY
CHICAGO, IL 60631

Cook County (773) 570-6404

CHRISTINA DRINKA

Massage Therapist

6178 N NORTHWEST HWY
CHICAGO, IL 60631

Cook County (773) 570-6404

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kevin Reider's NPI number?

The NPI number for Kevin Reider is 1114616802. It was assigned to this individual provider in the NPPES registry on May 8, 2023.

Where is Kevin Reider located?

Kevin Reider practices at 6178 N Northwest Hwy, Chicago, IL 60631. The listed phone number is (773) 570-6404.

What is Kevin Reider's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Kevin Reider enrolled in Medicare?

Yes. Kevin Reider is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kevin Reider's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Reider reassigns Medicare benefits to Deep Roots Chiropractic & Wellness Center LLC (Chicago, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kevin Reider's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kevin Reider was last updated on May 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.