Organization Active NPI

Sheyenne Valley Chiropractic Clinic Inc

  • Chiropractor
  • Lisbon, ND
National Provider Identifier
1992900393
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
533 553 Issued in ND
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

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Dr. Jodi K Sandness Rieger, DCNPI 1407999022
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)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
12687 12688OtherNDBLUE SHIELD OF ND

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041018000678 ND Part B Supplier - Clinic/Group Practice 8426018078 Receives reassigned benefits from 2 practitioners
Practice locations: Lisbon, ND

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.