Active NPI
Sheyenne Valley Chiropractic Clinic Inc
- Chiropractor
- Lisbon, ND
National Provider Identifier
1992900393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 533 553
- Legal business name
- SHEYENNE VALLEY CHIROPRACTIC CLINIC INC
- Practice address
- 15 11 Avenue West
Lisbon, ND 58054-0722 - Phone
- (701) 683-5337
- Fax
- (701) 683-0096
- NPI assigned
- Jun 18, 2007
- 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. Jodi K Sandness Rieger, DC
- Title
- Sec Tres Co Owner
- Phone
- (701) 683-5337
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 | 533 553 | ND | Primary |
Addresses
Primary practice location
15 11 Avenue West
Lisbon, ND 58054-0722
Mailing address
15 11 Avenue West
Lisbon, ND 58054-0722
Phone (701) 683-5337
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12687 12688 | Other | ND | BLUE SHIELD OF ND |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Lisbon, ND
- NPI 1407999022
-
- Chiropractor
- Lisbon, ND
- NPI 1427193051
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182124800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208649600000",
"number": "1992900393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 11 AVENUE WEST",
"city": "LISBON",
"state": "ND",
"postal_code": "580540722",
"telephone_number": "701-683-5337",
"fax_number": "701-683-0096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 11 AVENUE WEST",
"city": "LISBON",
"state": "ND",
"postal_code": "580540722",
"telephone_number": "701-683-5337",
"fax_number": "701-683-0096"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHEYENNE VALLEY CHIROPRACTIC CLINIC INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-18",
"last_updated": "2008-04-20",
"status": "A",
"authorized_official_last_name": "SANDNESS RIEGER",
"authorized_official_first_name": "JODI",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "SEC TRES CO OWNER",
"authorized_official_telephone_number": "701-683-5337",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "ND",
"license": "533 553",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF ND",
"identifier": "12687 12688",
"state": "ND"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lisbon, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.