Organization Active NPI

Ritz Chiropractic Group PLLC

  • Chiropractor
  • Le Mars, IA
National Provider Identifier
1639619133
Registry record updated Mar 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
076996 Issued in IA
Legal business name
RITZ CHIROPRACTIC GROUP PLLC
Practice address
220 Plymouth St SW
Le Mars, IA 51031-3441
Phone
(712) 546-4004
Fax
(712) 546-4007
NPI assigned
Mar 2, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2017

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

Authorized official

Name
Dr. Travis John Ritz, D.C.NPI 1811388861
Title
Doctor/Owner
Phone
(712) 546-4004

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 076996 IA Primary

Addresses

Primary practice location

220 Plymouth St SW
Le Mars, IA 51031-3441

Mailing address

220 Plymouth St SW
Le Mars, IA 51031-3441
Phone (712) 546-4004

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170322000580 IA Part B Supplier - Clinic/Group Practice 9638454218 Receives reassigned benefits from 2 practitioners
Practice locations: Le Mars, IA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
16D0927082Ritz Chiropractic Group220 Plymouth Street SW, Le Mars, IA 51031Certificate of waiverApr 8, 2027

National Provider Directory

National Provider Directory

Locations

220 Plymouth St SW
Le Mars, IA 51031
Phone (712) 546-4004

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1488412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489708800000",
    "number": "1639619133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 PLYMOUTH ST SW",
            "city": "LE MARS",
            "state": "IA",
            "postal_code": "510313441",
            "telephone_number": "712-546-4004",
            "fax_number": "712-546-4007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 PLYMOUTH ST SW",
            "city": "LE MARS",
            "state": "IA",
            "postal_code": "510313441",
            "telephone_number": "712-546-4004",
            "fax_number": "712-546-4007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITZ CHIROPRACTIC GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-02",
        "last_updated": "2017-03-17",
        "status": "A",
        "authorized_official_last_name": "RITZ",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "712-546-4004",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "076996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Le Mars, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2017; 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.