Individual provider Active NPI

Cynthia Lee Riley, D.C.,C.C.S.P.

  • Sports Physician Chiropractor
  • New Bern, NC
National Provider Identifier
1568468536
Registry record updated Jul 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
1850 Issued in NC
Practice address
2871 Trent Rd
New Bern, NC 28562-2029
Phone
(252) 514-2273
Fax
(252) 514-2276
NPI assigned
Jun 24, 2005
Reactivated
Mar 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X 1850 NC Primary

Addresses

Primary practice location

2871 Trent Rd
New Bern, NC 28562-2029

Mailing address

2871 Trent Rd
New Bern, NC 28562-2029
Phone (252) 514-2273

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100915000636 NC Practitioner - Chiropractic 4981729845 Practice locations: New Bern, NC

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2871 Trent Rd
New Bern, NC 28562-2029
Phone (252) 514-2273

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1850NCMDSports Physician Chiropractor

Interoperability endpoints

  • Direct secure messaging: cynthia.riley@direct.nbcc.nchie.net

NPI Registry JSON

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

{
    "created_epoch": "1119571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277942400000",
    "number": "1568468536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2871 TRENT RD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285622029",
            "telephone_number": "252-514-2273",
            "fax_number": "252-514-2276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2871 TRENT RD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285622029",
            "telephone_number": "252-514-2273",
            "fax_number": "252-514-2276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RILEY",
        "first_name": "CYNTHIA",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.C.,C.C.S.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-24",
        "last_updated": "2010-07-01",
        "deactivation_date": "2006-03-16",
        "reactivation_date": "2006-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "NC",
            "license": "1850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bern, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.