Riversedge Chiropractic Wellness Center LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

CR2220 Issued in ME

Legal business name

RIVERSEDGE CHIROPRACTIC WELLNESS CENTER LLC

Practice address

227 Main St
Old Town, ME 04468

Phone

(207) 827-5951

Fax

(720) 368-0639

NPI assigned

Mar 7, 2018

Last updated

Jul 3, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Cheryl A La Grange, DCNPI 1508213521

Title

Owner

Phone

(207) 631-1057

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Cheryl Anne La Grange, D.C

  • Chiropractor
  • Carmel, ME
  • NPI 1508213521
  Medicare reassignment Care Compare group Authorized official
• Kayleigh Louise Merrill, DC

  • Chiropractor
  • Old Town, ME
  • NPI 1356921878
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1520380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530576000000",
    "number": "1023510898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 MAIN ST",
            "city": "OLD TOWN",
            "state": "ME",
            "postal_code": "044681470",
            "telephone_number": "207-827-5951",
            "fax_number": "720-368-0639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 MAIN ST",
            "city": "OLD TOWN",
            "state": "ME",
            "postal_code": "04468",
            "telephone_number": "207-827-5951",
            "fax_number": "720-368-0639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSEDGE CHIROPRACTIC WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-07",
        "last_updated": "2018-07-03",
        "status": "A",
        "authorized_official_last_name": "LA GRANGE",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-631-1057",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "ME",
            "license": "CR2220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Ann Crittenden Richard, LCSW
• Emma April Richford
• Joshua Richie, PMHNP
• Rite Aid of Maine Inc (Rite Aid Pharmacy 03295)
• Christopher Albert Ritter, MD
• Riversedge Wellness
• RJ Dental PA
• Alton Robbins, BCABA
• Charles A Roberts, PAC
• Chandra Mae Rogers

• Clinic/Center in Old Town, ME
• Providers in Old Town, ME by specialty
• Clinic/Center in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2018; 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.