Active NPI
Rise Chiropractic Inc
- Chiropractor
- Maple Shade, NJ
National Provider Identifier
1851893614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 38MC00750600
- Legal business name
- RISE CHIROPRACTIC INC
- Practice address
- 300 S Lenola Rd
Maple Shade, NJ 08052 - Phone
- (856) 733-0684
- NPI assigned
- Mar 7, 2018
- Last updated
- Jan 3, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Shane Becker, DC
- Title
- Owner
- Phone
- (856) 733-0684
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 38MC00750600 | NJ | Primary |
Addresses
Primary practice location
300 S Lenola Rd
Maple Shade, NJ 08052
Mailing address
1605 Pennsauken St
Cinnaminson, NJ 08077-2620
Phone (267) 443-0684
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
300 S Lenola Rd
Maple Shade, NJ 08052
Phone (856) 733-0684
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Chiropractor
- Maple Shade, NJ
- NPI 1477055226
-
- Chiropractor
- Flemington, NJ
- NPI 1770133274
-
- Chiropractor
- Maple Shade, NJ
- NPI 1134885536
-
- Rehabilitation Chiropractor
- Bonita, CA
- NPI 1144455965
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520380800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1546473600000",
"number": "1851893614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1605 PENNSAUKEN ST",
"city": "CINNAMINSON",
"state": "NJ",
"postal_code": "080772620",
"telephone_number": "267-443-0684",
"fax_number": "267-443-0684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 S LENOLA RD",
"city": "MAPLE SHADE",
"state": "NJ",
"postal_code": "08052",
"telephone_number": "856-733-0684"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RISE CHIROPRACTIC INC",
"organizational_subpart": "NO",
"enumeration_date": "2018-03-07",
"last_updated": "2019-01-03",
"status": "A",
"authorized_official_last_name": "BECKER",
"authorized_official_first_name": "SHANE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "856-733-0684",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NJ",
"license": "38MC00750600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maple Shade, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.