NPIMap

Organization Active NPI

Rivertown Chiropractic, LLC.

  • Chiropractor
  • Madison, IN
National Provider Identifier
1649270992
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08001724A Issued in IN
Legal business name
RIVERTOWN CHIROPRACTIC, LLC.
Practice address
401 E 2ND St
Madison, IN 47250-3513
Phone
(812) 273-4325
Fax
(812) 273-9275
NPI assigned
Jul 28, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Geoffrey Jacob Walburn, D.C.NPI 1598765836
Title
Chiropractor/Owner
Phone
(812) 273-4325

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 08001724A IN Primary

Addresses

Primary practice location

401 E 2ND St
Madison, IN 47250-3513

Mailing address

401 E 2ND St
Madison, IN 47250-3513
Phone (812) 273-4325

Other identifiers 4

IdentifierTypeStateIssuer
000000321777OtherANTHEM BLUE CROSS/SHIELD
5840636OtherAETNA INSURANCE COMPANY
041352OtherSIHO INSURANCE COMPANY
P00094455OtherRAILROAD MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050316000960 IN Part B Supplier - Clinic/Group Practice 2961457577 Receives reassigned benefits from 3 practitioners
Practice locations: Madison, IN

National Provider Directory

National Provider Directory

Locations

401 E 2nd St
Madison, IN 47250
Phone (812) 273-4325

Practitioners & affiliated clinicians

Practitioners 5

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": "1122508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649270992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E 2ND ST",
            "city": "MADISON",
            "state": "IN",
            "postal_code": "472503513",
            "telephone_number": "812-273-4325",
            "fax_number": "812-273-9275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E 2ND ST",
            "city": "MADISON",
            "state": "IN",
            "postal_code": "472503513",
            "telephone_number": "812-273-4325",
            "fax_number": "812-273-9275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERTOWN CHIROPRACTIC, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WALBURN",
        "authorized_official_first_name": "GEOFFREY",
        "authorized_official_middle_name": "JACOB",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "812-273-4325",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08001724A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS/SHIELD",
            "identifier": "000000321777",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA INSURANCE COMPANY",
            "identifier": "5840636",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SIHO INSURANCE COMPANY",
            "identifier": "041352",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00094455",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.