Organization Active NPI

Rise Chiropractic and Acupuncture LLC

  • Chiropractor
  • Jacksonville, FL
National Provider Identifier
1104305846
Registry record updated Feb 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH12491 Issued in FL
Legal business name
RISE CHIROPRACTIC AND ACUPUNCTURE LLC
Practice address
14815 Mandarin Rd Ste 103
Jacksonville, FL 32223-2626
Phone
(937) 623-1906
NPI assigned
Aug 13, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2026

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

Authorized official

Name
David J Klosterman, DCNPI 1174577282
Title
Practice Owner
Phone
(937) 623-1906

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH12491 FL Primary

Addresses

Primary practice location

14815 Mandarin Rd Ste 103
Jacksonville, FL 32223-2626

Mailing address

14815 Mandarin Rd Ste 103
Jacksonville, FL 32223-2608
Phone (904) 512-7449

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181008003275 FL Part B Supplier - Clinic/Group Practice 8921350646 Receives reassigned benefits from 1 practitioner
Practice locations: Jacksonville, FL

National Provider Directory

National Provider Directory

Locations

14815 Mandarin Rd
Ste 103
Jacksonville, FL 32223
Phone (904) 512-7449

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1534118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771545600000",
    "number": "1104305846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14815 MANDARIN RD STE 103",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322232608",
            "telephone_number": "904-512-7449",
            "fax_number": "904-764-8342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14815 MANDARIN RD STE 103",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322232626",
            "telephone_number": "937-623-1906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISE CHIROPRACTIC AND ACUPUNCTURE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-13",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A",
        "authorized_official_last_name": "KLOSTERMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "937-623-1906",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH12491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2026; 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.