Organization Active NPI

River Health PC

Doing business as Longner Chiropractic

  • Chiropractor
  • Bullhead City, AZ
National Provider Identifier
1922375229
Registry record updated Nov 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7012 Issued in AZ
Legal business name
RIVER HEALTH PC
Doing business as
Longner Chiropractic
Practice address
3712 Highway 95 Ste 8
Bullhead City, AZ 86442-8175
Phone
(928) 763-9333
Fax
(928) 763-9313
NPI assigned
Nov 30, 2011
Last updated
Nov 30, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2011

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

Authorized official

Name
Dr. Martin Longner, D.C.NPI 1679600894
Title
President
Phone
(928) 763-9333

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 7012 AZ Primary

Addresses

Primary practice location

3712 Highway 95 Ste 8
Bullhead City, AZ 86442-8175

Mailing address

3712 Highway 95 Ste 8
Bullhead City, AZ 86442
Phone (928) 763-9333

Other names 1

  • Longner Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111208000141 AZ Part B Supplier - Clinic/Group Practice 7517132228 Receives reassigned benefits from 1 practitioner
Practice locations: Bullhead City, AZ

National Provider Directory

National Provider Directory

Locations

3712 Highway 95
Ste 8
Bullhead City, AZ 86442
Phone (928) 763-9333

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1322611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322611200000",
    "number": "1922375229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3712 HIGHWAY 95 STE 8",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "86442",
            "telephone_number": "928-763-9333",
            "fax_number": "928-763-9313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3712 HIGHWAY 95 STE 8",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864428175",
            "telephone_number": "928-763-9333",
            "fax_number": "928-763-9313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER HEALTH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-30",
        "last_updated": "2011-11-30",
        "status": "A",
        "authorized_official_last_name": "LONGNER",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "928-763-9333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Longner Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bullhead City, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2011; 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.

Verify at the official NPI Registry.