Organization Active NPI

Riley Chiropractic Health Center, P.C.

  • Chiropractor
  • Big Spring, TX
National Provider Identifier
1427067701
Registry record updated Aug 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8736 Issued in TX
Legal business name
RILEY CHIROPRACTIC HEALTH CENTER, P.C.
Practice address
1318 E. 4TH St.
Big Spring, TX 79720-3302
Phone
(432) 263-6185
Fax
(432) 264-9644
NPI assigned
Aug 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2010

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

Authorized official

Name
Dr. James Randall Riley, D.C.NPI 1508875253
Title
President
Phone
(432) 263-6185

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 8736 TX Primary

Addresses

Primary practice location

1318 E. 4TH St.
Big Spring, TX 79720-3302

Mailing address

1318 E. 4TH St.
Big Spring, TX 79720-3302
Phone (432) 263-6185

Other identifiers 3

IdentifierTypeStateIssuer
DG6004OtherTXRAILROAD MEDICARE
0002EZOtherTXBC/BS TX GROUP #
079943901MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080111000305 TX Part B Supplier - Clinic/Group Practice 7416038856 Receives reassigned benefits from 1 practitioner
Practice locations: Big Spring, TX; Comanche, TX

National Provider Directory

National Provider Directory

Locations

1318 E 4th St
Big Spring, TX 79720
Phone (432) 263-6185

1310 S Austin St
Comanche, TX 76442
Phone (325) 998-8464

Practitioners & affiliated clinicians

Practitioners 1

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": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282780800000",
    "number": "1427067701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1318 E. 4TH ST.",
            "city": "BIG SPRING",
            "state": "TX",
            "postal_code": "797203302",
            "telephone_number": "432-263-6185",
            "fax_number": "432-264-9644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1318 E. 4TH ST.",
            "city": "BIG SPRING",
            "state": "TX",
            "postal_code": "797203302",
            "telephone_number": "432-263-6185",
            "fax_number": "432-264-9644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RILEY CHIROPRACTIC HEALTH CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2010-08-26",
        "status": "A",
        "authorized_official_last_name": "RILEY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "RANDALL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "432-263-6185",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "8736",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DG6004",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS TX GROUP #",
            "identifier": "0002EZ",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "079943901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Big Spring, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2010; 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.