Organization Active NPI

Riffle Chiropractic Center

  • Chiropractor
  • Mount Vernon, OH
National Provider Identifier
1265610042
Registry record updated Jul 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1760 Issued in OH
Legal business name
RIFFLE CHIROPRACTIC CENTER
Practice address
110 W Chestnut St
Mount Vernon, OH 43050-2402
Phone
(740) 392-7861
NPI assigned
Feb 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2017

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

Authorized official

Name
Dr. Douglas W RiffleNPI 1144247636
Title
Doctor
Phone
(740) 392-7861

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: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1760 OH Primary

Addresses

Primary practice location

110 W Chestnut St
Mount Vernon, OH 43050-2402

Mailing address

110 W Chestnut St
Mount Vernon, OH 43050-2402

Other identifiers 1

IdentifierTypeStateIssuer
0929937MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050916000273 OH Part B Supplier - Clinic/Group Practice 2264465533 Receives reassigned benefits from 2 practitioners
Practice locations: Mount Vernon, OH

National Provider Directory

National Provider Directory

Locations

110 W Chestnut St
Mount Vernon, OH 43050
Phone (740) 392-7861

Practitioners & affiliated clinicians

Practitioners 2

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": "1202083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1499817600000",
    "number": "1265610042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 W CHESTNUT ST",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430502402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 W CHESTNUT ST",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430502402",
            "telephone_number": "740-392-7861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIFFLE CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-04",
        "last_updated": "2017-07-12",
        "status": "A",
        "authorized_official_last_name": "RIFFLE",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "740-392-7861",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "1760",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0929937",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2017; 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.