Radiant Life, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

RADIANT LIFE, LLC

Doing business as

Radiant Life Chiropractic

Practice address

2475 Lineville Rd Ste B
Green Bay, WI 54313-7153

Phone

(920) 455-0020

NPI assigned

Dec 28, 2023

Last updated

Dec 28, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Scott Nigbor, DCNPI 1487047684

Title

President

Phone

(920) 455-0020

Specialties & licenses 1

Addresses

Other names 1

• Radiant Life Chiropractic Doing business as

Practitioners 1

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.

• Scott Nigbor, D.C.

  • Chiropractor
  • Green Bay, WI
  • NPI 1487047684
  NPD Authorized official

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

{
    "created_epoch": "1703721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703721600000",
    "number": "1982473195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2475 LINEVILLE RD STE B",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543137153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2475 LINEVILLE RD STE B",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543137153",
            "telephone_number": "920-455-0020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIANT LIFE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-28",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A",
        "authorized_official_last_name": "NIGBOR",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "920-455-0020",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Radiant Life Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Juliette Rabelhofer
• Amanda Racine, RN
• Marcia Raddatz, PTA
• Emily R Rademacher, D.O., M.B.A.
• Radiant Life Chiropractic, LLC
• Radiology Chartered
• Sara Marie Radke, PTA
• Andrew Chandler Radtke, MD
• Diane Radtke, PT
• Carol A. Rafferty, NP

• Chiropractor in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.