Righteous Rivers LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

RIGHTEOUS RIVERS LLC

Doing business as

Phoenix Chiropractic

Practice address

6050 Peachtree Pkwy Ste 420
Peachtree Corners, GA 30092-3362

Phone

(770) 744-5810

NPI assigned

Jun 7, 2018

Last updated

Jun 7, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Esther WidjajaNPI 1124511902

Title

Clinic Director

Phone

(352) 871-2883

Specialties & licenses 1

Addresses

Other names 1

• Phoenix Chiropractic Doing business as

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.

• Esther Widjaja

  • Chiropractor
  • Peachtree Corners, GA
  • NPI 1124511902
  Authorized official Same address or phone

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

{
    "created_epoch": "1528329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528329600000",
    "number": "1720571508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6050 PEACHTREE PKWY STE 420",
            "city": "PEACHTREE CORNERS",
            "state": "GA",
            "postal_code": "300923362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6050 PEACHTREE PKWY STE 420",
            "city": "PEACHTREE CORNERS",
            "state": "GA",
            "postal_code": "300923362",
            "telephone_number": "770-744-5810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIGHTEOUS RIVERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-07",
        "last_updated": "2018-06-07",
        "status": "A",
        "authorized_official_last_name": "WIDJAJA",
        "authorized_official_first_name": "ESTHER",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "352-871-2883"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Phoenix Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chiropractor in Peachtree Corners, GA
• Providers in Peachtree Corners, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2018; 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.