Organization Active NPI

Risa L. Gildiner, D.C., P.C.

Doing business as Back-In-Line Chiropractic

  • Chiropractor
  • Blue Bell, PA
National Provider Identifier
1649381799
Registry record updated Jun 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-007189-L Issued in PA
Legal business name
RISA L. GILDINER, D.C., P.C.
Doing business as
Back-In-Line Chiropractic
Practice address
1431 Knightsbridge Dr
Blue Bell, PA 19422-1446
Phone
(267) 337-0369
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2012

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

Authorized official

Name
Dr. Risa Lauren Tau, D.C.NPI 1558479832
Title
President
Phone
(267) 337-0369

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC-007189-L PA Primary

Addresses

Primary practice location

1431 Knightsbridge Dr
Blue Bell, PA 19422-1446

Mailing address

1431 Knightsbridge Dr
Blue Bell, PA 19422-1446
Phone (267) 337-0369

Other names 1

  • Back-In-Line Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

6074 Ridge Ave
Philadelphia, PA 19128
Phone (215) 487-7750

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": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340064000000",
    "number": "1649381799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1431 KNIGHTSBRIDGE DR",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "194221446",
            "telephone_number": "267-337-0369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1431 KNIGHTSBRIDGE DR",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "194221446",
            "telephone_number": "267-337-0369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISA L. GILDINER, D.C., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2012-06-19",
        "status": "A",
        "authorized_official_last_name": "TAU",
        "authorized_official_first_name": "RISA",
        "authorized_official_middle_name": "LAUREN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "267-337-0369",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC-007189-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Back-In-Line Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Blue Bell, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2012; 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.