Ridgway Chiropractic Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

32514 Issued in CA

Legal business name

RIDGWAY CHIROPRACTIC INC

Practice address

1105 N Dutton Ave Ste D
Santa Rosa, CA 95401-4683

Phone

(707) 544-5338

NPI assigned

Mar 8, 2016

Organization subpart

No

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

Authorized official

Name

Caleb Ridgway, DCNPI 1699014431

Title

President

Phone

(707) 544-5338

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

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

• Caleb Daniel Ridgway, D.C.

  • Chiropractor
  • Santa Rosa, CA
  • NPI 1699014431
  Medicare reassignment NPD Authorized official
• Jasmine Jackson, D.C.

  • Chiropractor
  • Santa Rosa, CA
  • NPI 1952576753
  NPD (past)

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

{
    "created_epoch": "1457395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457395200000",
    "number": "1699136408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 N DUTTON AVE STE D",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954014683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 N DUTTON AVE STE D",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954014683",
            "telephone_number": "707-544-5338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDGWAY CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-08",
        "last_updated": "2016-03-08",
        "status": "A",
        "authorized_official_last_name": "RIDGWAY",
        "authorized_official_first_name": "CALEB",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-544-5338",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "32514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Rickman
• Jordan Rico
• Maria Refugio Rico, CADTP REGISTERED
• Christy Julie Riddell
• Gwendolyn R Riddell, CNM, APN
• Caleb Daniel Ridgway, D.C.
• Matthew Samarcq Ridgway
• Amy Ridling, CADTP
• Carlene Rieber, PT, DPT
• Jennifer Riegle, ND

• Chiropractor in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2016; 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.