NPIMap

Organization Active NPI

Rider Chiropractic PC

  • Chiropractor
  • Waverly, NE
National Provider Identifier
1124348271
Registry record updated Jul 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1615 Issued in NE
Legal business name
RIDER CHIROPRACTIC PC
Practice address
13220 Callum Dr
Suite 2
Waverly, NE 68462-2561
Phone
(402) 990-0648
NPI assigned
Jun 10, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2010

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

Authorized official

Name
Dr. Rachelle Lee Rider, D.C.
Title
President
Phone
(402) 990-0648

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1615 NE Primary

Addresses

Primary practice location

13220 Callum Dr
Suite 2
Waverly, NE 68462-2561

Mailing address

200 North Street
Greenwood, NE 68366-2502
Phone (402) 990-0648

Other identifiers 1

IdentifierTypeStateIssuer
1615OtherNECHIROPRACTIC LICENSE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1276128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279843200000",
    "number": "1124348271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 NORTH STREET",
            "city": "GREENWOOD",
            "state": "NE",
            "postal_code": "683662502",
            "telephone_number": "402-990-0648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13220 CALLUM DR",
            "address_2": "SUITE 2",
            "city": "WAVERLY",
            "state": "NE",
            "postal_code": "684622561",
            "telephone_number": "402-990-0648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDER CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-10",
        "last_updated": "2010-07-23",
        "status": "A",
        "authorized_official_last_name": "RIDER",
        "authorized_official_first_name": "RACHELLE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-990-0648",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1615",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTIC LICENSE",
            "identifier": "1615",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waverly, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2010; 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.