Revive Chiropractic & Acupuncture LLC

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

01-05713 Issued in KS

Legal business name

REVIVE CHIROPRACTIC & ACUPUNCTURE LLC

Practice address

210 E 30TH Ave Ste 110
Hutchinson, KS 67502-2463

Phone

(620) 259-6399

Fax

(620) 259-6682

NPI assigned

Jul 27, 2015

Organization subpart

No

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

Authorized official

Name

Janelle Vieyra

Title

Office Manager

Phone

(620) 259-6399

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stacia Biel, DC

  • Chiropractor
  • Hutchinson, KS
  • NPI 1093193476
  Medicare reassignment Care Compare group NPD
• Daelyn Anne Smith, DC

  • Chiropractor
  • Hutchinson, KS
  • NPI 1467280297
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1437955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670284800000",
    "number": "1447635826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 E 30TH AVE STE 110",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675022463",
            "telephone_number": "620-259-6399",
            "fax_number": "620-259-6682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 E 30TH AVE STE 110",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675022463",
            "telephone_number": "620-259-6399",
            "fax_number": "620-259-6682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVE CHIROPRACTIC & ACUPUNCTURE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-27",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A",
        "authorized_official_last_name": "VIEYRA",
        "authorized_official_first_name": "JANELLE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "620-259-6399"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "KS",
            "license": "01-05713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reno Asap Inc.
• Reno County Education Cooperative
• Reno County Education Cooperative
• Reno Pathology Associates PA
• Reno Pathology Associates, LLC
• Linessa Ann Rexford, APRN
• Josiah Rhodes, DPT
• Matthew Rich, DC
• Richard L Briscoe DDS PA
• Dana Richman

• Exclusive Provider Organization in Hutchinson, KS
• Providers in Hutchinson, KS by specialty
• Exclusive Provider Organization in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2022; 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.