Individual provider Active NPI

James Randall Riley, D.C.

  • Chiropractor
  • Big Spring, TX
National Provider Identifier
1508875253
Registry record updated Aug 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8736 Issued in TX
Practice address
1318 E. 4TH St.
Big Spring, TX 79720-3302
Phone
(432) 263-6185
Fax
(432) 264-9644
NPI assigned
Aug 5, 2006
Sex
Male
Sole proprietor
Yes

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 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
042015001MedicaidTX
P00009556OtherTXRAILROAD MEDICARE PROV. #
8A5350OtherTXBC/BS TX PROVIDER NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151216000721 TX Practitioner - Chiropractic 4688755028 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1318 E 4TH St
Riley Chiro HLTH Ctr
Big Spring, TX 79720-3302
Phone (432) 263-6185

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8736TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Riley Chiropractic Health Center, P.C. Chiropractor CurrentSince Oct 10, 2000 Accepting new patients

Locations

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

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282780800000",
    "number": "1508875253",
    "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": {
        "last_name": "RILEY",
        "first_name": "JAMES",
        "middle_name": "RANDALL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2010-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "8736",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "042015001",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PROV. #",
            "identifier": "P00009556",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS TX PROVIDER NUMBER",
            "identifier": "8A5350",
            "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.
  • 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.