River Ridge Spine and Rehabilitation Center

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1104 Issued in SD

Legal business name

RIVER RIDGE SPINE AND REHABILITATION CENTER

Practice address

4925 E 26TH St
Sioux Falls, SD 57110-6950

Phone

(605) 334-7371

NPI assigned

Feb 12, 2007

Organization subpart

No

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

Authorized official

Name

Mark Ty Hardwick, D.C.

Title

Chiropractor

Phone

(605) 334-7371

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104967017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4925 E 26TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571106950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4925 E 26TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571106950",
            "telephone_number": "605-334-7371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER RIDGE SPINE AND REHABILITATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARDWICK",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "TY",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "605-334-7371",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "1104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ritzman Counseling Services, Inc.
• Kelly Marie Ritzman, MS, NCC, LPC-MH, RPT
• River District Counseling LLC
• River Ridge Oral & Maxillofacial Surgical Center
• River Ridge Spine & Rehabilitation Center PC
• Rivers Edge Aesthetic Surgery, LLC
• Samantha A Rivet, OD
• RLF Family Eyecare Prof LLC
• RLF Optometry LLC
• Abrea Ann Roark, M.D.

• All providers in Sioux Falls, SD
• Chiropractor in South Dakota

• 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.

Verify at the official NPI Registry.