Organization Active NPI

River Ridge Spine & Rehabilitation Center PC

  • Chiropractor
  • Sioux Falls, SD
National Provider Identifier
1265496160
Registry record updated Jan 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
796 Issued in SD
Legal business name
RIVER RIDGE SPINE & REHABILITATION CENTER PC
Practice address
4925 E 26TH St
Sioux Falls, SD 57110-6950
Phone
(605) 334-7371
Fax
(605) 332-6616
NPI assigned
Apr 17, 2006
Last updated
Jan 11, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2023

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

Authorized official

Name
Roger I Van Riper, DCNPI 1659376648
Title
President/Owner
Phone
(605) 334-7371

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
Chiropractor 111N00000X 796 SD Primary

Addresses

Primary practice location

4925 E 26TH St
Sioux Falls, SD 57110-6950

Mailing address

4925 E 26TH St
Sioux Falls, SD 57110-6950
Phone (605) 334-7371

Other identifiers 2

IdentifierTypeStateIssuer
0006606OtherSDGROUP BCBS NUMBER
7602220MedicaidSD

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address admin@riverridge-spine.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040602000996 SD Part B Supplier - Clinic/Group Practice 1658353883 Receives reassigned benefits from 1 practitioner
Practice locations: Sioux Falls, SD

National Provider Directory

National Provider Directory

Locations

1737 S Cleveland Ave
Sioux Falls, SD 57103
Phone (605) 334-7371

Practitioners & affiliated clinicians

Practitioners 1

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": "1145232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673395200000",
    "number": "1265496160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4925 E 26TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571106950",
            "telephone_number": "605-334-7371",
            "fax_number": "605-332-6616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4925 E 26TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571106950",
            "telephone_number": "605-334-7371",
            "fax_number": "605-332-6616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER RIDGE SPINE & REHABILITATION CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-17",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A",
        "authorized_official_last_name": "VAN RIPER",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "605-334-7371",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "796",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP BCBS NUMBER",
            "identifier": "0006606",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7602220",
            "state": "SD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@riverridge-spine.com",
            "affiliation": "N",
            "endpointDescription": "Office Manager email on in-house server",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4925 E 26th St",
            "city": "Sioux Falls",
            "state": "SD",
            "country_code": "US",
            "postal_code": "571106950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2023; 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.