Riverside Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3469-012 Issued in WI

Legal business name

RIVERSIDE CHIROPRACTIC, LLC

Practice address

104 E Main St
Lower
Waterford, WI 53185-4302

Phone

(262) 514-3600

Fax

(262) 514-3836

NPI assigned

Jan 2, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jenny R Geiger, D.C.

Title

Member-Manager

Phone

26251436000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jenny R Geiger-Putra, D.C.

  • Chiropractor
  • Waterford, WI
  • NPI 1508004227
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003973868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 E MAIN ST",
            "address_2": "LOWER",
            "city": "WATERFORD",
            "state": "WI",
            "postal_code": "531854302",
            "telephone_number": "262-514-3600",
            "fax_number": "262-514-3836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 E MAIN ST",
            "address_2": "LOWER",
            "city": "WATERFORD",
            "state": "WI",
            "postal_code": "531854302",
            "telephone_number": "262-514-3600",
            "fax_number": "262-514-3836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GEIGER",
        "authorized_official_first_name": "JENNY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MEMBER-MANAGER",
        "authorized_official_telephone_number": "26251436000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3469-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randall Schmidt MD
• Jennifer Lynn Reed
• Erin Noll Reich Olson, LCSW
• Christa Lynn Reimer, R.N.
• Alyssa Jane Revolinski
• Nancy M Rofalikos-Welka, DO
• Sharon R Ruetz-Smith, D.D.S.
• Libby Rumary, FNP-BC
• Kimberly Ruona
• Crystal Sadowski, NP

• Chiropractor in Waterford, WI
• Providers in Waterford, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.