Active NPI
Newedge Family Chiropractic PLLC
- Chiropractor
- Pasco, WA
National Provider Identifier
1154068930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James Dane Riner, D.C.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220906001295 | WA | Part B Supplier - Clinic/Group Practice | 5193109460 |
Receives reassigned benefits from 2 practitioners Practice locations: Kennewick, WA |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Chiropractor
- Pasco, WA
- NPI 1669018164
-
- Chiropractor
- Kennewick, WA
- NPI 1164713483
-
- Chiropractor
- Kennewick, WA
- NPI 1154913432
-
- Chiropractor
- New York, NY
- NPI 1285114090
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.