Shaine Emanuel Rider, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1216 Issued in LA

Practice address

4451 Nelson Rd
Lake Charles, LA 70605-4136

Phone

(337) 480-0027

Fax

(337) 480-0499

NPI assigned

Sep 20, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in LA

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Ser Investments, LLC

  dba Rider Shaine E MBR

  • Chiropractor
  • Lake Charles, LA
  • NPI 1528474913
  Medicare reassignment NPD Authorized official
• Therapy Center of Jefferson Davis Parish, Inc

  • Physical Therapist
  • Jennings, LA
  • NPI 1508971045
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568560217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4451 NELSON RD",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706054136",
            "telephone_number": "337-480-0027",
            "fax_number": "337-480-0499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4451 NELSON RD",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706054136",
            "telephone_number": "337-480-0027",
            "fax_number": "337-480-0499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDER",
        "first_name": "SHAINE",
        "middle_name": "EMANUEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "1216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chandrika Dena' Rideau
• Jordan Ashley Rideau
• Carolyn Rideaux, NP
• Veranna Rideaux
• Samantha A Rider, RD
• Karen Riffle
• Katina Rigmadien
• Jameica Rigmaiden
• Paul Coleman Riley Jr., D.D.S.
• Tailor Ilise Riley, PHARMD

• Chiropractor in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Chiropractor in Louisiana

• 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.
• 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.