Active NPI
South Main Pain, Inc.
- Chiropractor
- Belle Glade, FL
National Provider Identifier
1073735577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- SOUTH MAIN PAIN, INC.
- Practice address
- 607 South Main Street
Suite 102
Belle Glade, FL 33430 - Phone
- (561) 996-1900
- NPI assigned
- May 3, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Richard J Ridky, DC
- Title
- President
- Phone
- (561) 432-6021
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
Primary practice location
607 South Main Street
Suite 102
Belle Glade, FL 33430
Mailing address
7024 Charleston Shores Blvd
Lake Worth, FL 33467
Phone (561) 432-6021
National Provider Directory
National Provider DirectoryLocations
607 S Main St
Ste 102
Belle Glade, FL 33430
Phone (561) 996-1900
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Lake Worth, FL
- NPI 1306064951
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1073735577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7024 CHARLESTON SHORES BLVD",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "33467",
"telephone_number": "561-432-6021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "607 SOUTH MAIN STREET",
"address_2": "SUITE 102",
"city": "BELLE GLADE",
"state": "FL",
"postal_code": "33430",
"telephone_number": "561-996-1900"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTH MAIN PAIN, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-03",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "RIDKY",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "561-432-6021",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Belle Glade, FL
- Soto Chiropractic & Physical Therapy Centers
- Janette Soto, RPH
- South County Mental Health Center, Inc.
- South Florida Foot & Ankle Center
- South Florida Physical Medicine and Rehabilitation Center LLC
- Southern Touch Healthcare LLC
- Brianca Spence, CBHCM-S
- Kerlan St Prix, DO
- Venise St. Hilaire, MHI 21167
- David Lee Stackhouse, D.D.S.
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.