Paul Leonard Ries, D.C.

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

4205 Issued in AZ

Practice address

100 W. White Mountain Blvd.
Lakeside, AZ 85929

Phone

(928) 367-4640

Fax

(928) 367-5572

NPI assigned

Dec 12, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Ries Chiropractic & Rehabilitation Center LLC

  • Point of Service
  • Lakeside, AZ
  • NPI 1740648260
  NPD (past)

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568523868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W. WHITE MOUNTAIN BLVD.",
            "city": "LAKESIDE",
            "state": "AZ",
            "postal_code": "85929",
            "telephone_number": "928-367-4640",
            "fax_number": "928-367-5572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W. WHITE MOUNTAIN BLVD.",
            "city": "LAKESIDE",
            "state": "AZ",
            "postal_code": "85929",
            "telephone_number": "928-367-4640",
            "fax_number": "928-367-5572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIES",
        "first_name": "PAUL",
        "middle_name": "LEONARD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "AZ",
            "license": "4205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Maurice Reagan, M.D.
• Lorna Rae Reisner, NP
• Brent Riepel Sr., RPH
• Ries Chiropractic & Rehabilitation Center LLC
• Kenly Leonard Ries, D.C.
• Robert J Wylie MD PC
• Charles Paul Robertson, M.D.
• Roger Williams MD PC
• Samuel Jesus Rosero Garcia, M.D.
• Rta Hospice, LLC

• Rehabilitation Chiropractor in Lakeside, AZ
• Providers in Lakeside, AZ by specialty
• Rehabilitation Chiropractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.