Active NPI
Gregg Loren Riggert, D.C.
- Chiropractor
- Pueblo, CO
National Provider Identifier
1699897603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4018
- Practice address
- 24 Club Manor Dr Ste 108
Pueblo, CO 81008-1699 - Phone
- (719) 295-1151
- Fax
- (719) 542-1098
- NPI assigned
- Apr 3, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4018 | CO | Primary |
Addresses
Primary practice location
24 Club Manor Dr Ste 108
Pueblo, CO 81008-1699
Mailing address
24 Club Manor Dr Ste 108
Pueblo, CO 81008-1699
Phone (719) 295-1151
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4018 | CO | MD | Exercise & Sports Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1699897603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 CLUB MANOR DR STE 108",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810081699",
"telephone_number": "719-295-1151",
"fax_number": "719-542-1098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 CLUB MANOR DR STE 108",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810081699",
"telephone_number": "719-295-1151",
"fax_number": "719-542-1098"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIGGERT",
"first_name": "GREGG",
"middle_name": "LOREN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CO",
"license": "4018",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pueblo, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.