Organization Active NPI

Newedge Family Chiropractic PLLC

  • Chiropractor
  • Pasco, WA
National Provider Identifier
1154068930
Registry record updated May 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
NEWEDGE FAMILY CHIROPRACTIC PLLC
Practice address
4525 Road 68 Ste H
Pasco, WA 99301-9595
Phone
(509) 737-9355
NPI assigned
May 13, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2022

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

Authorized official

Name
James Dane Riner, D.C.NPI 1669018164
Title
MBR
Phone
(509) 737-9355

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 Primary

Addresses

Primary practice location

4525 Road 68 Ste H
Pasco, WA 99301-9595

Mailing address

4525 Road 68 Ste H
Pasco, WA 99301-9595

Other names 1

  • New Edge Family Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220906001295 WA Part B Supplier - Clinic/Group Practice 5193109460 Receives reassigned benefits from 2 practitioners
Practice locations: Kennewick, WA

National Provider Directory

National Provider Directory

Locations

4525 Road 68
Ste H
Pasco, WA 99301
Phone (509) 492-4800

Practitioners & affiliated clinicians

Practitioners 4

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": "1652400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652400000000",
    "number": "1154068930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4525 ROAD 68 STE H",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993019595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4525 ROAD 68 STE H",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993019595",
            "telephone_number": "509-737-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWEDGE FAMILY CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-13",
        "last_updated": "2022-05-13",
        "certification_date": "2022-05-13",
        "status": "A",
        "authorized_official_last_name": "RINER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "DANE",
        "authorized_official_title_or_position": "MBR",
        "authorized_official_telephone_number": "509-737-9355",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Edge Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pasco, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2022; 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.