Individual provider Active NPI

Riley Durbano, DC, ATC

  • Chiropractor
  • Fredericksburg, VA
National Provider Identifier
1730851619
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104-557805 Issued in VA
Practice address
150 Olde Greenwich Dr Ste 100
Fredericksburg, VA 22408-4063
Phone
(540) 395-5985
NPI assigned
Sep 29, 2021
Last updated
Mar 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 0126003707 VA
Chiropractor 111N00000X 0104-557805 VA Primary

Addresses

Primary practice location

150 Olde Greenwich Dr Ste 100
Fredericksburg, VA 22408-4063

Mailing address

150 Olde Greenwich Dr Ste 100
Fredericksburg, VA 22408-4063
Phone (540) 395-5985

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230418002955 VA Practitioner - Chiropractic 6507231990 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

150 Olde Greenwich Dr
Suite 100
Fredericksburg, VA 22408-4063
Phone (810) 819-7212

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0104-557805VAMDChiropractor
0126003707VAMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Can-Am Chiropractic and Wellness Chiropractor CurrentSince Jan 1, 2023 Accepting new patients
Solano Spine & Sport Chiropractor PastSince Jul 24, 2022 Accepting new patients

Locations

150 Olde Greenwich Dr
Ste 100
Fredericksburg, VA 22408
Phone (540) 395-5985

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1632873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1730851619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 OLDE GREENWICH DR STE 100",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224084063",
            "telephone_number": "540-395-5985",
            "fax_number": "540-380-0064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 OLDE GREENWICH DR STE 100",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224084063",
            "telephone_number": "540-395-5985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURBANO",
        "first_name": "RILEY",
        "credential": "DC, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-29",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "VA",
            "license": "0126003707",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104-557805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.