Active NPI
Constance Jean Riley, D.C.
- Chiropractor
- Toledo, OH
National Provider Identifier
1225159569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3553
- Practice address
- 4400 Heatherdowns Blvd Ste 5
Toledo, OH 43614-3182 - Phone
- (419) 720-1472
- Fax
- (419) 720-1475
- NPI assigned
- Apr 3, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3553 | OH | Primary |
Addresses
Primary practice location
4400 Heatherdowns Blvd Ste 5
Toledo, OH 43614-3182
Mailing address
4134 Rodeo Dr
Sylvania, OH 43560-3280
Phone (419) 367-3113
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3553 | OH | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Source of Warren, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba HealthSource of South Toledo
- Clinic/Center
- Toledo, OH
- NPI 1952586075
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190678400000",
"number": "1225159569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4134 RODEO DR",
"city": "SYLVANIA",
"state": "OH",
"postal_code": "435603280",
"telephone_number": "419-367-3113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4400 HEATHERDOWNS BLVD STE 5",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436143182",
"telephone_number": "419-720-1472",
"fax_number": "419-720-1475"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RILEY",
"first_name": "CONSTANCE",
"middle_name": "JEAN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-03",
"last_updated": "2007-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OH",
"license": "3553",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.