Organization Active NPI

Rolling Hills Chiropractic PC.

  • Chiropractor
  • Greenville, TX
National Provider Identifier
1851389431
Registry record updated Jul 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5056 Issued in TX
Legal business name
ROLLING HILLS CHIROPRACTIC PC.
Practice address
2806 Mitchell St
Greenville, TX 75402-8939
Phone
(903) 454-2225
Fax
(903) 454-4766
NPI assigned
Oct 8, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2015

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

Authorized official

Name
Dr. Daniel K. Reinboldt, D.C.NPI 1689856213
Title
President
Phone
(903) 454-2225

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 5056 TX Primary

Addresses

Primary practice location

2806 Mitchell St
Greenville, TX 75402-8939

Mailing address

2806 Mitchell St
Greenville, TX 75402-8939
Phone (903) 454-2225

Other identifiers 4

IdentifierTypeStateIssuer
640101OtherTXACN
8H3830OtherTXBLUE CROSS/ BLUE SHIELD
4324263OtherTXAETNA
CO6033747OtherTXMEDICAID TEXAS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150908000211 TX Part B Supplier - Clinic/Group Practice 0749596724 Receives reassigned benefits from 1 practitioner
Practice locations: Greenville, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2145444Rolling Hills Chiropractic2806 Mitchell, Greenville, TX 75402Certificate of waiverMar 6, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1128729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436486400000",
    "number": "1851389431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2806 MITCHELL ST",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754028939",
            "telephone_number": "903-454-2225",
            "fax_number": "903-454-4766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2806 MITCHELL ST",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754028939",
            "telephone_number": "903-454-2225",
            "fax_number": "903-454-4766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROLLING HILLS CHIROPRACTIC PC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-08",
        "last_updated": "2015-07-10",
        "status": "A",
        "authorized_official_last_name": "REINBOLDT",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "903-454-2225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "5056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN",
            "identifier": "640101",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/ BLUE SHIELD",
            "identifier": "8H3830",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4324263",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID TEXAS",
            "identifier": "CO6033747",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2015; 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.