Michael Ridgeway Chiropractic Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

15617 Issued in CA

Legal business name

MICHAEL RIDGEWAY CHIROPRACTIC INC

Practice address

777 Farmers Lane
Santa Rosa, CA 95405-6701

Phone

(707) 544-2400

NPI assigned

Jun 11, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Michael Gene Ridgeway, DC

Title

President

Phone

(707) 544-2400

Specialties & licenses 1

Addresses

Other names 1

• Chiropractic Associates Doing business as

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386847838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 FARMERS LANE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954056701",
            "telephone_number": "707-544-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 FARMERS LANE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954056701",
            "telephone_number": "707-544-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL RIDGEWAY CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RIDGEWAY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "GENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-544-2400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "15617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chiropractic Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nannette L. Meyers, MD
• Molly Meza-Trejo
• Michael a Mundell, MD, Professional Corporation
• Michael G Ridgeway DC Inc
• Michael J. Lazar, Jr., M.D., Professional Medical Corporation
• Dana Shelley Michaels, N.D.
• Mauricio Schabes Michaels, M.D.
• Sophia Michaels
• Brandon Michaud
• Ian James Middleton, OD

• Chiropractor in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Chiropractor in California

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.