Individual provider Active NPI

Levy Riley III, D.C.

  • Chiropractor
  • Lanham, MD
National Provider Identifier
1750652053
Registry record updated Feb 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
S03768 Issued in MD
Practice address
7400 Riverdale Rd
Lanham, MD 20706-1136
Phone
(301) 577-6556
NPI assigned
Jan 18, 2012
Last updated
Feb 1, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH 10473 FL
Chiropractor 111N00000X S03768 MD Primary

Addresses

Primary practice location

7400 Riverdale Rd
Lanham, MD 20706-1136

Mailing address

9658 Baltimore Ave
Ste 420
College Park, MD 20740-1358
Phone (301) 577-6556

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141007002479 DC Practitioner - Chiropractic 2264650654 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Terrapin Care Centers LLCGroup PAC ID 7719135086, 2 clinicians

Practice addresses (Care Compare)

9658 Baltimore Ave
Suite 420
College Park, MD 20740-1358

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH 10473FLMDChiropractor
S03768MDMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Terrapin Care Centers LLC CurrentSince Mar 18, 2017 Accepting new patients
Excelsia Physicians Group LLC PastSince Mar 18, 2017 Accepting new patients
Dr. Stewart S. Loeb, PC Chiropractor PastSince Jul 27, 2014 Accepting new patients

Locations

9658 Baltimore Ave
Ste 420
College Park, MD 20740
Phone (301) 220-1930

Organizations & group practices 3

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": "1326844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485907200000",
    "number": "1750652053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9658 BALTIMORE AVE",
            "address_2": "STE 420",
            "city": "COLLEGE PARK",
            "state": "MD",
            "postal_code": "207401358",
            "telephone_number": "301-577-6556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 RIVERDALE RD",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207061136",
            "telephone_number": "301-577-6556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RILEY",
        "first_name": "LEVY",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-01-18",
        "last_updated": "2017-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 10473",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "S03768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lanham, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2017; 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.