Active NPI
Jada Lian Riley, DC
- Chiropractor
- Fulshear, TX
National Provider Identifier
1740918382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 15190
- Practice address
- 2340 Texas Heritage Pkwy Ste 100
Fulshear, TX 77494-4635 - Phone
- (832) 913-8970
- NPI assigned
- Aug 11, 2022
- Sex
- Female
- Sole proprietor
- No
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 | 15190 | TX | Primary |
Addresses
Primary practice location
2340 Texas Heritage Pkwy Ste 100
Fulshear, TX 77494-4635
Mailing address
12100 S Highway 6 Apt 7305
Sugar Land, TX 77498-5718
Phone (512) 743-5032
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 |
|---|---|---|---|
| 15190 | TX | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jenna Rose Reese | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Preferred Provider Organization
- Katy, TX
- NPI 1770959165
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676160000000",
"number": "1740918382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12100 S HIGHWAY 6 APT 7305",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774985718",
"telephone_number": "512-743-5032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2340 TEXAS HERITAGE PKWY STE 100",
"city": "FULSHEAR",
"state": "TX",
"postal_code": "774944635",
"telephone_number": "832-913-8970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RILEY",
"first_name": "JADA",
"middle_name": "LIAN",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-11",
"last_updated": "2023-02-12",
"certification_date": "2023-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "15190",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fulshear, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.