Organization Active NPI

Rise Chiropractic, PLLC

  • Chiropractor
  • Bay City, MI
National Provider Identifier
1245879832
Registry record updated Dec 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
RISE CHIROPRACTIC, PLLC
Practice address
1570 S Euclid Ave
Bay City, MI 48706-3318
Phone
(619) 606-0952
NPI assigned
Dec 30, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2019

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

Authorized official

Name
Chelsie Arnold, DCNPI 1407245814
Title
Owner
Phone
(619) 606-0952

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)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

1570 S Euclid Ave
Bay City, MI 48706-3318

Mailing address

4235 Dirker Rd
Saginaw, MI 48638-5618
Phone (619) 606-0952

Other identifiers 2

IdentifierTypeStateIssuer
1033648944MedicaidMI
1407245814MedicaidMO

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200221001857 MI Part B Supplier - Clinic/Group Practice 9931536414 Receives reassigned benefits from 5 practitioners
Practice locations: Bay City, MI

National Provider Directory

National Provider Directory

Locations

1570 S Euclid Ave
Bay City, MI 48706
Phone (989) 200-7473

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1577664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577664000000",
    "number": "1245879832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4235 DIRKER RD",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486385618",
            "telephone_number": "619-606-0952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1570 S EUCLID AVE",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487063318",
            "telephone_number": "619-606-0952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISE CHIROPRACTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-30",
        "last_updated": "2019-12-30",
        "certification_date": "2019-12-30",
        "status": "A",
        "authorized_official_last_name": "ARNOLD",
        "authorized_official_first_name": "CHELSIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-606-0952",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1033648944",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1407245814",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2019; 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.