Individual provider Active NPI

Dana Carl Riffle, DC

  • Chiropractor
  • Mount Vernon, OH
National Provider Identifier
1306863899
Registry record updated Nov 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1759 Issued in OH
Practice address
110 West Chestnut Street
Mount Vernon, OH 43050
Phone
(740) 392-7861
Fax
(740) 392-7861
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1759 OH Primary

Addresses

Primary practice location

110 West Chestnut Street
Mount Vernon, OH 43050

Mailing address

110 West Chestnut Street
Mount Vernon, OH 43050
Phone (740) 392-7861

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
I20110307000266 OH Practitioner - Chiropractic 0244412633 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 1991
Medicare assignment
May accept Medicare assignment
Group practices
Riffle Chiropractic CenterGroup PAC ID 2264465533, 2 clinicians

Practice addresses (Care Compare)

110 W Chestnut St
Mount Vernon, OH 43050-2402
Phone (740) 392-7861

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1759OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Riffle Chiropractic Center Chiropractor CurrentSince Dec 31, 1991 Accepting new patients

Locations

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

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.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288656000000",
    "number": "1306863899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 WEST CHESTNUT STREET",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "43050",
            "telephone_number": "740-392-7861",
            "fax_number": "740-392-7861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 WEST CHESTNUT STREET",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "43050",
            "telephone_number": "740-392-7861",
            "fax_number": "740-392-7861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIFFLE",
        "first_name": "DANA",
        "middle_name": "CARL",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2010-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "1759",
            "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 Nov 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.