Individual provider Active NPI

Jeffrey P Riker, DC

  • Chiropractor
  • Glenmont, NY
National Provider Identifier
1477525137
Registry record updated Sep 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X7718 Issued in NY
Practice address
398 Feura Bush Rd
Glenmont, NY 12077
Phone
(518) 449-3071
Fax
(518) 449-3073
NPI assigned
Feb 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X7718 NY Primary

Addresses

Primary practice location

398 Feura Bush Rd
Glenmont, NY 12077

Mailing address

398 Feura Bush Rd
Glenmont, NY 12077
Phone (518) 449-3071

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111118000324 NY Practitioner - Chiropractic 6406020999 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Los Angeles, 1994
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

16 Hope PLZ
W Coxsackie, NY 12192-1225
Phone (518) 449-3071

398 Feura Bush Rd
Glenmont, NY 12077-2954
Phone (518) 449-3071

Hospital & facility affiliations

  • Columbia Memorial Hospital Hospital, Hudson, NY, CCN 330094

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X7718NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Glenmont Chiropractic Office, PLLC Chiropractor CurrentSince Apr 1, 2017 Accepting new patients
John R Riker DC PLLC Chiropractor Past Accepting new patients
Delmar Chiropractic Office, P.C. Chiropractor PastSince Aug 1, 1994 Accepting new patients

Locations

392 Feura Bush Rd
Ste 550
Glenmont, NY 12077
Phone (518) 449-3071

16 Hope Plz
West Coxsackie, NY 12192
Phone (518) 449-3071

Organizations & group practices 3

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317081600000",
    "number": "1477525137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "398 FEURA BUSH RD",
            "city": "GLENMONT",
            "state": "NY",
            "postal_code": "12077",
            "telephone_number": "518-449-3071",
            "fax_number": "518-449-3073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "398 FEURA BUSH RD",
            "city": "GLENMONT",
            "state": "NY",
            "postal_code": "12077",
            "telephone_number": "518-449-3071",
            "fax_number": "518-449-3073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIKER",
        "first_name": "JEFFREY",
        "middle_name": "P",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-06",
        "last_updated": "2011-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X7718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenmont, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.