Organization Active NPI

Atlantic Chiropractic Associates, P.a.

  • Chiropractor
  • Milford, DE
National Provider Identifier
1194851055
Registry record updated Oct 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ATLANTIC CHIROPRACTIC ASSOCIATES, P.A.
Practice address
509 Lakeview Ave
Milford, DE 19963-2917
Phone
(302) 422-3100
Fax
(302) 422-2900
NPI assigned
Feb 26, 2007
Last updated
Oct 29, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2021

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

Authorized official

Name
Dr. Andrew W Riddle, DCNPI 1053409441
Title
President
Phone
(302) 422-3100

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X F1-0000522 DE
Chiropractor 111N00000X Primary

Addresses

Primary practice location

509 Lakeview Ave
Milford, DE 19963-2917

Mailing address

509 Lakeview Ave
Milford, DE 19963-2917
Phone (302) 422-3100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070731000467 DE Part B Supplier - Clinic/Group Practice 6709987092 Receives reassigned benefits from 7 practitioners
Practice locations: Georgetown, DE; Lewes, DE; Milford, DE

National Provider Directory

National Provider Directory

Locations

20728 DuPont Blvd
Unit 317
Georgetown, DE 19947
Phone (302) 519-1616

12001 Old Vine Blvd
Unit 102
Lewes, DE 19958
Phone (302) 422-3100

375 Mullet Run
Milford, DE 19963
Phone (302) 422-3100

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635465600000",
    "number": "1194851055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 LAKEVIEW AVE",
            "city": "MILFORD",
            "state": "DE",
            "postal_code": "199632917",
            "telephone_number": "302-422-3100",
            "fax_number": "302-422-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 LAKEVIEW AVE",
            "city": "MILFORD",
            "state": "DE",
            "postal_code": "199632917",
            "telephone_number": "302-422-3100",
            "fax_number": "302-422-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC CHIROPRACTIC ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2021-10-29",
        "certification_date": "2021-10-29",
        "status": "A",
        "authorized_official_last_name": "RIDDLE",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "302-422-3100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "DE",
            "license": "F1-0000522",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2021; 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.