Individual provider Active NPI

Andrew W Riddle, D.C.

  • Chiropractor
  • Milford, DE
National Provider Identifier
1053409441
Registry record updated Oct 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
F1-0000522 Issued in DE
Practice address
509 Lakeview Ave
Milford, DE 19963-2917
Phone
(302) 422-3100
Fax
(302) 422-2900
NPI assigned
Oct 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X F1-0000522 DE Primary

Addresses

Primary practice location

509 Lakeview Ave
Milford, DE 19963-2917

Mailing address

509 Lakeview Ave
Milford, DE 19963-2917
Phone (302) 422-3100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041016000206 DE Practitioner - Chiropractic 7214997972 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlantic Chiropractic Associates, P.a.Group PAC ID 6709987092, 6 clinicians

Practice addresses (Care Compare)

12001 Old Vine Blvd
Unit 102
Lewes, DE 19958-1690
Phone (302) 422-3100

2 Lee Ave
Unit 103
Georgetown, DE 19947-2149
Phone (302) 422-3100

509 Lakeview Ave
Milford, DE 19963-2917
Phone (302) 422-3100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
La Red Health Center, Inc CurrentSince Nov 10, 2025 Accepting new patients
La Red Health Center, Inc. CurrentSince Nov 10, 2025 Accepting new patients
Peninsula Chiropractic Center Chiropractor Past Accepting new patients
Dr. Andrew W. Riddle D.C., P.a. Chiropractor Past Accepting new patients
Peninsula Chiropractic Center Chiropractor Past Accepting new patients

Locations

21444 Carmean Way
Georgetown, DE 19947
Phone (302) 855-2020

21 W Clarke Ave
Ste 1001
Milford, DE 19963
Phone (302) 855-1223

300 High St
Seaford, DE 19973

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635465600000",
    "number": "1053409441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 LAKEVIEW AVE",
            "city": "MILFORD",
            "state": "DE",
            "postal_code": "199632917",
            "telephone_number": "302-422-3100",
            "fax_number": "302-422-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 LAKEVIEW AVE",
            "city": "MILFORD",
            "state": "DE",
            "postal_code": "199632917",
            "telephone_number": "302-422-3100",
            "fax_number": "302-422-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDDLE",
        "first_name": "ANDREW",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2021-10-29",
        "certification_date": "2021-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "DE",
            "license": "F1-0000522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2021; 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.

Verify at the official NPI Registry.