Organization Active NPI

Ries Chiropractic & Rehabilitation Center LLC

  • Point of Service
  • Lakeside, AZ
National Provider Identifier
1740648260
Registry record updated Mar 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
Legal business name
RIES CHIROPRACTIC & REHABILITATION CENTER LLC
Practice address
5658 Hwy 260 Ste 1
Lakeside, AZ 85929
Phone
(928) 537-2213
Fax
(928) 532-0013
NPI assigned
Jan 29, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2023

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

Authorized official

Name
Dr. Kenly Leonard Ries, DC
Title
Chiropractor
Phone
(928) 537-2213

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X Primary

Addresses

Primary practice location

5658 Hwy 260 Ste 1
Lakeside, AZ 85929

Mailing address

5658 Highway 260 Ste 1
Lakeside, AZ 85929-5189
Phone (928) 537-2213

National Provider Directory

National Provider Directory

Locations

5658 Highway 260
Ste 1
Lakeside, AZ 85929
Phone (928) 537-2213

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1454025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678406400000",
    "number": "1740648260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5658 HIGHWAY 260 STE 1",
            "city": "LAKESIDE",
            "state": "AZ",
            "postal_code": "859295189",
            "telephone_number": "928-537-2213",
            "fax_number": "928-532-0013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5658 HWY 260 STE 1",
            "city": "LAKESIDE",
            "state": "AZ",
            "postal_code": "85929",
            "telephone_number": "928-537-2213",
            "fax_number": "928-532-0013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIES CHIROPRACTIC & REHABILITATION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-29",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A",
        "authorized_official_last_name": "RIES",
        "authorized_official_first_name": "KENLY",
        "authorized_official_middle_name": "LEONARD",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "928-537-2213",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeside, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2023; 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.