Individual provider Active NPI

John Stuart Riddel, DC

  • Chiropractor
  • Reynoldsburg, OH
National Provider Identifier
1881800670
Registry record updated Mar 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC16829 Issued in CA
Practice address
6480 E Main St Ste B
Reynoldsburg, OH 43068-2391
Phone
(614) 864-1611
Fax
(614) 864-4573
NPI assigned
May 16, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4279 OH
Chiropractor 111N00000X DC16829 CA Primary

Addresses

Primary practice location

6480 E Main St Ste B
Reynoldsburg, OH 43068-2391

Mailing address

1800 Oak Park Blvd
Suite B
Pleasant Hill, CA 94523-4479
Phone (925) 945-7890

Other practice location 1

1800 Oak Park Blvd
Suite B
Pleasant Hill, CA 94523-4479
Phone (925) 945-7890

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150319000390 OH Practitioner - Chiropractic 4082830054 Practice locations: Reynoldsburg, OH

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Los Angeles College of Chiropractic, 1984
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

6480 E Main St
Reynoldsburg, OH 43068-1452
Phone (614) 864-1611

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC16829CAMDChiropractor
4279OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Riddel Chiropractic Center Past Accepting new patients
James E. Hicks, D.C., Inc. Chiropractor PastSince Mar 5, 2023 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677715200000",
    "number": "1881800670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 OAK PARK BLVD",
            "address_2": "SUITE B",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945234479",
            "telephone_number": "925-945-7890",
            "fax_number": "925-945-7890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6480 E MAIN ST STE B",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430682391",
            "telephone_number": "614-864-1611",
            "fax_number": "614-864-4573"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 Oak Park Blvd",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Pleasant Hill",
            "state": "CA",
            "postal_code": "945234479",
            "country_code": "US",
            "telephone_number": "925-945-7890",
            "fax_number": "925-945-7890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIDDEL",
        "first_name": "JOHN",
        "middle_name": "STUART",
        "name_prefix": "Mr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-16",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "4279",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC16829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reynoldsburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2023; 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.