NPIMap

Organization Active NPI

Riverside Theraputic Massage

  • Point of Service
  • Richland, WA
National Provider Identifier
1013347681
Registry record updated Nov 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
Legal business name
RIVERSIDE THERAPUTIC MASSAGE
Practice address
640 Jadwin Ave Ste J
Richland, WA 99352-4244
Phone
(509) 946-4800
NPI assigned
Nov 19, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2013

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

Authorized official

Name
Mr. Mark Whitten I
Title
L.M.P
Phone
(509) 976-4800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X WA Primary

Addresses

Primary practice location

640 Jadwin Ave Ste J
Richland, WA 99352-4244

Mailing address

640 Jadwin Ave Ste J
Richland, WA 99352-4244
Phone (509) 946-4800

National Provider Directory

National Provider Directory
Tax ID family
Riverside Therapeutic Massage4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1384819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384819200000",
    "number": "1013347681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 JADWIN AVE STE J",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993524244",
            "telephone_number": "509-946-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 JADWIN AVE STE J",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993524244",
            "telephone_number": "509-946-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE THERAPUTIC MASSAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-19",
        "last_updated": "2013-11-19",
        "status": "A",
        "authorized_official_last_name": "WHITTEN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "L.M.P",
        "authorized_official_telephone_number": "509-976-4800",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "I"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.