Individual provider Active NPI

Beth A. Risser, D.C

  • Chiropractor
  • Quarryville, PA
National Provider Identifier
1396916896
Registry record updated Mar 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC004536L Issued in PA
Practice address
18C Furnace Rd
Quarryville, PA 17566
Phone
(717) 806-5329
Fax
(717) 806-5117
NPI assigned
Mar 12, 2008
Last updated
Mar 15, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC004536L PA Primary

Addresses

Primary practice location

18C Furnace Rd
Quarryville, PA 17566

Mailing address

P.O. Box 124
Bart, PA 17503
Phone (717) 806-5329

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130624000256 PA Practitioner - Chiropractic 3476792433 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC004536LPAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
George's Chiropractic Health Center, LTD Chiropractor CurrentSince Sep 30, 2015 Accepting new patients

Locations

1676 Manheim Pike
Lancaster, PA 17601
Phone (717) 569-5731

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1205280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363305600000",
    "number": "1396916896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 124",
            "city": "BART",
            "state": "PA",
            "postal_code": "17503",
            "telephone_number": "717-806-5329",
            "fax_number": "717-806-5117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18C FURNACE RD",
            "city": "QUARRYVILLE",
            "state": "PA",
            "postal_code": "17566",
            "telephone_number": "717-806-5329",
            "fax_number": "717-806-5117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RISSER",
        "first_name": "BETH",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-12",
        "last_updated": "2013-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC004536L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quarryville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2013; 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.