Organization Active NPI

Riverchase Rehab & Wellness PA

  • Chiropractor
  • Coppell, TX
National Provider Identifier
1578677332
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5943 Issued in TX
Legal business name
RIVERCHASE REHAB & WELLNESS PA
Practice address
870 S Denton Tap Rd Ste 200
Coppell, TX 75019-4575
Phone
(972) 393-3737
Fax
(972) 393-4925
NPI assigned
Aug 18, 2006
Last updated
Mar 11, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

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

Authorized official

Name
Dr. Doug E Bedichek, D.C.
Title
President
Phone
(972) 393-3737

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5943 TX Primary
Physical Therapist 225100000X 1072528 TX

Addresses

Primary practice location

870 S Denton Tap Rd Ste 200
Coppell, TX 75019-4575

Mailing address

870 S Denton Tap Rd Ste 200
Coppell, TX 75019-4575
Phone (972) 393-3737

Other identifiers 1

IdentifierTypeStateIssuer
0035JQOtherTXBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060920000317 TX Part B Supplier - Clinic/Group Practice 9830194166 Receives reassigned benefits from 1 practitioner
Practice locations: Coppell, TX

National Provider Directory

National Provider Directory

Locations

820 S MacArthur Blvd
#145
Coppell, TX 75019
Phone (972) 393-3737

870 S Denton Tap Rd
Ste 200
Coppell, TX 75019
Phone (972) 393-3737

878 S Denton Tap Rd
Ste 125
Coppell, TX 75019
Phone (972) 393-3737

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773187200000",
    "number": "1578677332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "870 S DENTON TAP RD STE 200",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750194575",
            "telephone_number": "972-393-3737",
            "fax_number": "972-393-4925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 S DENTON TAP RD STE 200",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750194575",
            "telephone_number": "972-393-3737",
            "fax_number": "972-393-4925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERCHASE REHAB & WELLNESS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A",
        "authorized_official_last_name": "BEDICHEK",
        "authorized_official_first_name": "DOUG",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-393-3737",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "5943",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1072528",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0035JQ",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coppell, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.