Mark L Riley III, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2063 Issued in OH

Practice address

2966 Harrisburg Rd NE
Canton, OH 44705-2562

Phone

(330) 452-3335

Fax

(330) 452-9636

NPI assigned

Nov 21, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Riley Chiropractic Inc

  • Chiropractor
  • Canton, OH
  • NPI 1437287083
  NPD (past) Authorized official
• Jocdoc Inc

  • Chiropractor
  • Canton, OH
  • NPI 1841365004
  NPD (past)
• Northeast Ohio Therapy Associates, LLC

  • Physical Therapy Clinic/Center
  • Canton, OH
  • NPI 1396937033
  NPD (past)

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197331200000",
    "number": "1578638987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2966 HARRISBURG RD NE",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447052562",
            "telephone_number": "330-452-3335",
            "fax_number": "330-452-9636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2966 HARRISBURG RD NE",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447052562",
            "telephone_number": "330-452-3335",
            "fax_number": "330-452-9636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RILEY",
        "first_name": "MARK",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2007-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "2063",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0128221",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Riley Chiropractic Inc
• Candace Riley
• Jean L Riley, LPCC
• Joel S Riley, O.D.
• Laura J. Riley, CNP
• Ron Riley
• Shelby Riley
• Stacey Riley
• Amy K Rinehart, LPCC-S
• Samantha Ann Rinehart, LPC

• Chiropractor in Canton, OH
• Providers in Canton, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.