Individual provider Active NPI

Earl G. Ritter, D.C.

  • Chiropractor
  • Bloomsburg, PA
National Provider Identifier
1164483772
Registry record updated Nov 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC001412L Issued in PA
Practice address
1239 Old Berwick Rd
Bloomsburg, PA 17815-3023
Phone
(570) 784-3932
Fax
(570) 387-7968
NPI assigned
Mar 31, 2006
Last updated
Nov 26, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 26, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC001412L PA Primary
Rehabilitation Chiropractor 111NR0400X 001412L PA

Addresses

Primary practice location

1239 Old Berwick Rd
Bloomsburg, PA 17815-3023

Mailing address

1239 Old Berwick Rd
Bloomsburg, PA 17815-3023
Phone (570) 784-3932

Other identifiers 3

IdentifierTypeStateIssuer
115677OtherPAHIGHMARK BLUE SHIELD
01577901OtherPACAPITAL BLUE CROSS
1001294055MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1239 Old Berwick Rd
Bloomsburg, PA 17815-3023

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
001412LPAMDRehabilitation Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
M J Ritter, P.C Chiropractor PastSince Feb 23, 2009 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543190400000",
    "number": "1164483772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1239 OLD BERWICK RD",
            "city": "BLOOMSBURG",
            "state": "PA",
            "postal_code": "178153023",
            "telephone_number": "570-784-3932",
            "fax_number": "570-387-7968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1239 OLD BERWICK RD",
            "city": "BLOOMSBURG",
            "state": "PA",
            "postal_code": "178153023",
            "telephone_number": "570-784-3932",
            "fax_number": "570-387-7968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RITTER",
        "first_name": "EARL",
        "middle_name": "G.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2018-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC001412L",
            "primary": true
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "PA",
            "license": "001412L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "115677",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "01577901",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1001294055",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.