Radiance Spine Injury & Wellness Center

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

RADIANCE SPINE INJURY & WELLNESS CENTER

Doing business as

Daniel E Riveramedina

Practice address

7201 York Ave S Apt 1219
Edina, MN 55435-4447

Phone

(612) 237-2508

NPI assigned

Jan 15, 2016

Last updated

Jan 15, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Daniel Enrique Riveramedina, D.C.

Title

Chiropractor

Phone

61223872508

Specialties & licenses 1

Addresses

Other names 1

• Daniel E Riveramedina Doing business as

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

{
    "created_epoch": "1452816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452816000000",
    "number": "1255798617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7201 YORK AVE S APT 1219",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354447",
            "telephone_number": "612-237-2508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7201 YORK AVE S APT 1219",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354447",
            "telephone_number": "612-237-2508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIANCE SPINE INJURY & WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-15",
        "last_updated": "2016-01-15",
        "status": "A",
        "authorized_official_last_name": "RIVERAMEDINA",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "ENRIQUE",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "61223872508",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Daniel E Riveramedina",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Samantha Rabang
• Vicki Rabenberg, ATC
• Noel A. Radcliffe, MD
• Wendy A Rader, P.T.
• Mark Raderstorf
• Radiant Healthcare Services LLC
• Radiant Therapy Services LLC
• Fernando Cepollina Raduan, MD
• Deepak Rao Raghu, MD
• Donald F. Rahe, PH.D.

• Chiropractor in Edina, MN
• Providers in Edina, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.