River Bend Chiropractic
Organization Active NPI Chiropractor · Coolville, OH
NPI 1831995802 · NPPES record last updated Feb 20, 2025
Key facts
- NPI
- 1831995802
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- Legal business name
- RIVER BEND CHIROPRACTIC
- Practice address
- 42123 State Route 7
Coolville, OH 45723-9088 - Phone
- (740) 846-0005
- Fax
- (877) 635-0871
- NPI assigned
- Feb 20, 2025
- Organization subpart
- No
Authorized official
- Name
- Tyler Kaye, DC
- Title
- Doctor of Chiropractic/Owner
- Phone
- (740) 416-0005
Practitioners 1
-
Tyler Kaye, DC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250327003250 | OH | Part B Supplier - Clinic/Group Practice | 3072036227 |
Receives reassigned benefits from 1 practitioner Practice locations: Coolville, OH |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | Yes |
Addresses
Primary practice location
42123 State Route 7
Coolville, OH 45723-9088
Mailing address
42123 State Route 7
Coolville, OH 45723-9088
Phone (740) 846-0005
NPI Registry JSON
{
"created_epoch": "1740009600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1740009600000",
"number": "1831995802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42123 STATE ROUTE 7",
"city": "COOLVILLE",
"state": "OH",
"postal_code": "457239088",
"telephone_number": "740-846-0005",
"fax_number": "877-635-0871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42123 STATE ROUTE 7",
"city": "COOLVILLE",
"state": "OH",
"postal_code": "457239088",
"telephone_number": "740-846-0005",
"fax_number": "877-635-0871"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIVER BEND CHIROPRACTIC",
"organizational_subpart": "NO",
"enumeration_date": "2025-02-20",
"last_updated": "2025-02-20",
"certification_date": "2025-02-20",
"status": "A",
"authorized_official_last_name": "KAYE",
"authorized_official_first_name": "TYLER",
"authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC/OWNER",
"authorized_official_telephone_number": "740-416-0005",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coolville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 20, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.