NPIMap

Organization Active NPI

River Falls Chiropractic, Inc

  • Chiropractor
  • River Falls, WI
National Provider Identifier
1316166333
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3093-012 Issued in WI
Legal business name
RIVER FALLS CHIROPRACTIC, INC
Practice address
215 N 2ND St
#201
River Falls, WI 54022-3706
Phone
(715) 425-6665
Fax
(715) 425-6677
NPI assigned
Apr 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Melissa J Kolb, D.C.
Title
President
Phone
(715) 425-6665

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 3093-012 WI Primary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 3035-012 WI

Addresses

Primary practice location

215 N 2ND St
#201
River Falls, WI 54022-3706

Mailing address

215 N 2ND St
#201
River Falls, WI 54022-3706
Phone (715) 425-6665

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120124000395 WI Part B Supplier - Clinic/Group Practice 7214104751 Receives reassigned benefits from 3 practitioners
Practice locations: River Falls, WI

National Provider Directory

National Provider Directory

Locations

215 N 2nd St
Ste 201
River Falls, WI 54022
Phone (715) 425-6665

Practitioners & affiliated clinicians

Practitioners 3

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": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316166333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 N 2ND ST",
            "address_2": "#201",
            "city": "RIVER FALLS",
            "state": "WI",
            "postal_code": "540223706",
            "telephone_number": "715-425-6665",
            "fax_number": "715-425-6677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 N 2ND ST",
            "address_2": "#201",
            "city": "RIVER FALLS",
            "state": "WI",
            "postal_code": "540223706",
            "telephone_number": "715-425-6665",
            "fax_number": "715-425-6677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER FALLS CHIROPRACTIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KOLB",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "715-425-6665",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3093-012",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3035-012",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in River Falls, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.