Michael G Ridgeway DC Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

15617 Issued in CA

Legal business name

MICHAEL G RIDGEWAY DC INC

Practice address

777 Farmers Lane
Santa Rosa, CA 95405

Phone

(707) 544-2400

Fax

(707) 544-5203

NPI assigned

Jul 18, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Michael G Ridgeway, DC

Title

Owner President

Phone

(707) 544-2400

Specialties & licenses 1

Addresses

Other names 1

• Michael G Ridgeway DC Former legal business name

Locations

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780602672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 FARMERS LANE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "95405",
            "telephone_number": "707-544-2400",
            "fax_number": "707-544-5203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 FARMERS LANE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "95405",
            "telephone_number": "707-544-2400",
            "fax_number": "707-544-5203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL G RIDGEWAY DC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RIDGEWAY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "707-544-2400",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "15617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michael G Ridgeway DC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Meredith Meyer, LMFT
• Roy D. Meyer, MD
• Nannette L. Meyers, MD
• Molly Meza-Trejo
• Michael a Mundell, MD, Professional Corporation
• Michael J. Lazar, Jr., M.D., Professional Medical Corporation
• Michael Ridgeway Chiropractic Inc
• Dana Shelley Michaels, N.D.
• Mauricio Schabes Michaels, M.D.
• Sophia Michaels

• Chiropractor in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.