Dennis G. Ridenour, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC001316L Issued in PA

Practice address

1705 N Juniata St
Hollidaysburg, PA 16648

Phone

(814) 696-3531

Fax

(814) 696-3534

NPI assigned

Mar 21, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269216000000",
    "number": "1427174754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 N JUNIATA ST",
            "city": "HOLLIDAYSBURG",
            "state": "PA",
            "postal_code": "16648",
            "telephone_number": "814-696-3531",
            "fax_number": "814-696-3534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 N JUNIATA ST",
            "city": "HOLLIDAYSBURG",
            "state": "PA",
            "postal_code": "16648",
            "telephone_number": "814-696-3531",
            "fax_number": "814-696-3534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDENOUR",
        "first_name": "DENNIS",
        "middle_name": "G.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-21",
        "last_updated": "2010-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC001316L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000645328",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00645328",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cynthia Rainey Raposas, MD
• Carly Raymond
• Aaron Paul Reachard, B.S.
• Patrick John Reese
• Sharon Joy Reese
• Rite Aid of Pennsylvania LLC
• Laurie Beth Rogers, B.S.
• Pamela Jane Root-Baechle, LCSW
• Jeffrey M Rosch, M.D.
• Marcy Rowland, PH.D.

• Chiropractor in Hollidaysburg, PA
• Providers in Hollidaysburg, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2010; 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.