Active NPI
Dana Garlan Riederer, DC
- Chiropractor
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038011099
- Practice address
- 1030 N Clark St
Suite 610
Chicago, IL 60610-5467 - Phone
- (312) 943-0680
- NPI assigned
- Jan 28, 2008
- Last updated
- Apr 27, 2011
- Sex
- Male
- 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 | 038011099 | IL | Primary |
Addresses
Primary practice location
1030 N Clark St
Suite 610
Chicago, IL 60610-5467
Mailing address
1030 N Clark St
Suite 610
Chicago, IL 60610-5467
Phone (312) 943-0680
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
223 W Jackson Blvd
Suite 1016
Chicago, IL 60606-6916
Phone (708) 351-2011
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038011099 | IL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pro Active Chiropractic PC | Chiropractor | Current | Accepting new patients |
| Seezox Chiropractic Rehabilitation | Chiropractor | Past | Accepting new patients |
| Jennifer L. Fockler, L.Ac. LLC | Past | Accepting new patients | |
| Advanced Physicians, S.C. | Past | Accepting new patients |
Locations
223 W Jackson Blvd
Ste 1016
Chicago, IL 60606
Phone (708) 351-2011
Organizations & group practices 4
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
- Chicago, IL
- NPI 1013483874
-
- Physical Medicine & Rehabilitation Physician
- Chicago, IL
- NPI 1750337077
-
- Clinic/Center
- Chicago, IL
- NPI 1457887648
-
dba Performance Chiropractic Center
- Chiropractor
- Crystal Lake, IL
- NPI 1376760074
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303862400000",
"number": "1104003649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1030 N CLARK ST",
"address_2": "SUITE 610",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606105467",
"telephone_number": "312-943-0680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1030 N CLARK ST",
"address_2": "SUITE 610",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606105467",
"telephone_number": "312-943-0680"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIEDERER",
"first_name": "DANA",
"middle_name": "GARLAN",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-01-28",
"last_updated": "2011-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038011099",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2011; 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.