Active NPI
Laurie Riley P.L.C.
- Chiropractor
- Phoenix, AZ
National Provider Identifier
1689904989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- LAURIE RILEY P.L.C.
- Practice address
- 4550 E Bell Rd
BLDG 6 Ste 152
Phoenix, AZ 85032-9306 - Phone
- (602) 992-9791
- NPI assigned
- Jan 8, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Laurie Riley, D.C.
- Title
- Sole Member
- Phone
- (602) 992-9791
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
Primary practice location
4550 E Bell Rd
BLDG 6 Ste 152
Phoenix, AZ 85032-9306
Mailing address
4550 E Bell Rd
BLDG 6 Ste 152
Phoenix, AZ 85032-9306
Phone (602) 992-9791
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100311000276 | AZ | Part B Supplier - Clinic/Group Practice | 9032254305 | Practice locations: Scottsdale, AZ |
National Provider Directory
National Provider DirectoryLocations
4921 E Bell Rd
Ste 107
Scottsdale, AZ 85254
Phone (480) 219-4501
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Phoenix, AZ
- NPI 1841487436
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262908800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1262908800000",
"number": "1689904989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4550 E BELL RD",
"address_2": "BLDG 6 STE 152",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850329306",
"telephone_number": "602-992-9791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4550 E BELL RD",
"address_2": "BLDG 6 STE 152",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850329306",
"telephone_number": "602-992-9791"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAURIE RILEY P.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2010-01-08",
"last_updated": "2010-01-08",
"status": "A",
"authorized_official_last_name": "RILEY",
"authorized_official_first_name": "LAURIE",
"authorized_official_title_or_position": "SOLE MEMBER",
"authorized_official_telephone_number": "602-992-9791",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2010; 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.