River City Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

60139083 Issued in WA

Legal business name

RIVER CITY CHIROPRACTIC LLC

Practice address

615 N Sullivan Rd
Suite B
Spokane Valley, WA 99037-8574

Phone

(509) 241-3088

Fax

(509) 241-3089

NPI assigned

Aug 12, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Brian Christopher Wickstrom, D.C.NPI 1992021737

Title

Sole Member

Phone

(509) 241-3088

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brian Christopher Wickstrom, D.C.

  • Chiropractor
  • Spokane Valley, WA
  • NPI 1992021737
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1313107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313107200000",
    "number": "1164701744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 N SULLIVAN RD",
            "address_2": "SUITE B",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "990378574",
            "telephone_number": "509-241-3088",
            "fax_number": "509-241-3089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 N SULLIVAN RD",
            "address_2": "SUITE B",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "990378574",
            "telephone_number": "509-241-3088",
            "fax_number": "509-241-3089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER CITY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-12",
        "last_updated": "2011-08-12",
        "status": "A",
        "authorized_official_last_name": "WICKSTROM",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "509-241-3088",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "60139083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Veronica Sue Risken-Oakes, LICSWA
• Jon Vernon Rittenbach, MD
• River City Behavioral Health LLC
• River City Behavioral Health LLC
• River City Chiropractic
• River City Midwifery
• Jeremiah Rivera, MSW
• Kristina N Rivera, LMP
• Mary Rivera
• Riverside Therapy Center

• Chiropractor in Spokane Valley, WA
• Providers in Spokane Valley, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2011; 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.