Active NPI
Joseph A Rieger, C.O., C.PED.
- Specialist
- Antioch, TN
National Provider Identifier
1740373760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- CO004014
- Practice address
- 773 Bell Rd
Antioch, TN 37013-2112 - Phone
- (615) 731-3338
- Fax
- (615) 731-2338
- NPI assigned
- Oct 2, 2006
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | CO004014 | TN | Primary |
Addresses
Primary practice location
773 Bell Rd
Antioch, TN 37013-2112
Mailing address
773 Bell Rd
Antioch, TN 37013-2112
Phone (615) 731-3338
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3048012 | Other | TN | BLUE CROSS BLUE SHIELD |
| 900002072 | Medicaid | KY | |
| 3048012 | Other | TN | TENNCARE SELECT |
| 009941554 | Medicaid | AL | |
| 1454953 | Medicaid | TN | |
| 165832900 | Other | ACS - DEPT OF LABOR |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CO004014 | TN | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213056000000",
"number": "1740373760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "773 BELL RD",
"city": "ANTIOCH",
"state": "TN",
"postal_code": "370132112",
"telephone_number": "615-731-3338",
"fax_number": "615-731-2338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "773 BELL RD",
"city": "ANTIOCH",
"state": "TN",
"postal_code": "370132112",
"telephone_number": "615-731-3338",
"fax_number": "615-731-2338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIEGER",
"first_name": "JOSEPH",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "C.O., C.PED.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-02",
"last_updated": "2008-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TN",
"license": "CO004014",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "3048012",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "900002072",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TENNCARE SELECT",
"identifier": "3048012",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009941554",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1454953",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACS - DEPT OF LABOR",
"identifier": "165832900",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Antioch, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.