Active NPI
Shawn G. Riley, D.C.
- Chiropractor
- Center, TX
National Provider Identifier
1023232329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 9199
- Practice address
- 201 San Augustine St
Center, TX 75935-3953 - Phone
- (936) 598-5200
- Fax
- (936) 591-0505
- NPI assigned
- Apr 11, 2007
- Last updated
- Oct 22, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 9199 | TX | Primary |
Addresses
Primary practice location
201 San Augustine St
Center, TX 75935-3953
Mailing address
201 San Augustine St
Center, TX 75935-3953
Phone (936) 598-5200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 608231 | Other | TX | BLUE CROSS OF TEXAS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
201 San Augustine St
Center, TX 75935-3953
Phone (936) 598-5200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9199 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| S. Riley Chiropractic PLLC | Chiropractor | Current | Accepting new patients |
Locations
201 San Augustine St
Center, TX 75935
Phone (936) 598-5200
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1382400000000",
"number": "1023232329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 SAN AUGUSTINE ST",
"city": "CENTER",
"state": "TX",
"postal_code": "759353953",
"telephone_number": "936-598-5200",
"fax_number": "936-591-0505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 SAN AUGUSTINE ST",
"city": "CENTER",
"state": "TX",
"postal_code": "759353953",
"telephone_number": "936-598-5200",
"fax_number": "936-591-0505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RILEY",
"first_name": "SHAWN",
"middle_name": "G.",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-11",
"last_updated": "2013-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "9199",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF TEXAS",
"identifier": "608231",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Center, TX
- Philip Taylor Reynolds, DDS
- Julie M. Rholes, R.D.
- Robert Richardson, PHARM D
- Right Step Adult Day Care, LLC (Right Choice Adult Day Care)
- Right Step Adult Day Care, LLC (Right Step Wheeling Meals)
- Brittany Nicole Rios
- Pamela Vance Robinson, LPC
- S. Riley Chiropractic PLLC (Center Chiropractic)
- Martina Santana
- Erin Michelleq Scarber
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.