Active NPI
Emily Kathryn Risty, D.C.
- Chiropractor
- Grants Pass, OR
National Provider Identifier
1083769954
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 27 3378
- Practice address
- 1829 Nebraska Ave
Balancepoint Health Center, PC
Grants Pass, OR 97527 - Phone
- (541) 476-1116
- Fax
- (541) 476-1720
- NPI assigned
- Jan 24, 2007
- Last updated
- May 8, 2009
- Sex
- Female
- Sole proprietor
- No
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 | 27 3378 | OR | Primary |
Addresses
Primary practice location
1829 Nebraska Ave
Balancepoint Health Center, PC
Grants Pass, OR 97527
Mailing address
1829 Nebraska Ave
Balancepoint Health Center, PC
Grants Pass, OR 97527
Phone (541) 476-1116
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27 3378 | OR | MD | Chiropractor |
| 3378 | OR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Balancepoint Health Center, PC | Chiropractor | Past | Accepting new patients |
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.
-
- Chiropractor
- Grants Pass, OR
- NPI 1154599207
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1241740800000",
"number": "1083769954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1829 NEBRASKA AVE",
"address_2": "BALANCEPOINT HEALTH CENTER, PC",
"city": "GRANTS PASS",
"state": "OR",
"postal_code": "97527",
"telephone_number": "541-476-1116",
"fax_number": "541-476-1720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1829 NEBRASKA AVE",
"address_2": "BALANCEPOINT HEALTH CENTER, PC",
"city": "GRANTS PASS",
"state": "OR",
"postal_code": "97527",
"telephone_number": "541-476-1116",
"fax_number": "541-476-1720"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RISTY",
"first_name": "EMILY",
"middle_name": "KATHRYN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-24",
"last_updated": "2009-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OR",
"license": "27 3378",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grants Pass, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.