Individual provider Active NPI

Larry K Rhine, D.C.

  • Chiropractor
  • Allentown, PA
National Provider Identifier
1497751820
Registry record updated Nov 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC003769L Issued in PA
Practice address
4684 Broadway
Tilghman SQ
Allentown, PA 18104-3214
Phone
(610) 391-0858
Fax
(610) 391-0528
NPI assigned
Jun 21, 2005
Last updated
Nov 29, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC003769L PA Primary

Addresses

Primary practice location

4684 Broadway
Tilghman SQ
Allentown, PA 18104-3214

Mailing address

4684 Broadway
Tilghman SQ
Allentown, PA 18104-3214
Phone (610) 391-0858

Other identifiers 7

IdentifierTypeStateIssuer
0012339650002OtherPAMEDICAL ASSISTANCE
10934833OtherPACAQH PROVIDER ID
P00099430OtherPAPALMETTO GBA
P1590800OtherPAOXFORD PROVDER ID
672331OtherPARHINE CHIRO.GROUP #
94822OtherPAAETNA PROVIDER ID
672331OtherPAPERSONAL CHOICE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081125000450 PA Practitioner - Chiropractic 1153481668 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4684 Broadway
Allentown, PA 18104-3214
Phone (610) 391-0858

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC003769LPAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Rhine Chiropractic Center PC Chiropractor CurrentSince Oct 6, 2008 Accepting new patients
Rhine Chiropractic Center Chiropractor PastSince May 2, 2003 Accepting new patients

Locations

4684 Broadway
Allentown, PA 18104
Phone (610) 391-0858

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": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196294400000",
    "number": "1497751820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4684 BROADWAY",
            "address_2": "TILGHMAN SQ",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181043214",
            "telephone_number": "610-391-0858",
            "fax_number": "610-391-0528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4684 BROADWAY",
            "address_2": "TILGHMAN SQ",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181043214",
            "telephone_number": "610-391-0858",
            "fax_number": "610-391-0528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHINE",
        "first_name": "LARRY",
        "middle_name": "K",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-21",
        "last_updated": "2007-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC003769L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL ASSISTANCE",
            "identifier": "0012339650002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH PROVIDER ID",
            "identifier": "10934833",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA",
            "identifier": "P00099430",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD PROVDER ID",
            "identifier": "P1590800",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RHINE CHIRO.GROUP #",
            "identifier": "672331",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER ID",
            "identifier": "94822",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL CHOICE",
            "identifier": "672331",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2007; 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.