Active NPI
Joel A Riddel, D.C.
- Chiropractor
- Libby, MT
National Provider Identifier
1992910319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 907CHI
- Practice address
- 1115 Minnesota Ave
Libby, MT 59923 - Phone
- (406) 293-2741
- Fax
- (406) 293-2741
- NPI assigned
- May 10, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 907CHI | MT | Primary |
| Chiropractor | 111N00000X | CH00034225 | WA |
Addresses
Primary practice location
1115 Minnesota Ave
Libby, MT 59923
Mailing address
1115 Minnesota Ave
Libby, MT 59923
Phone (406) 293-2741
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00314296 | Other | MT | RAILROAD MEDICARE |
| 40453 | Other | MT | BLUE CROSS |
| 0164242 | Medicaid | MT | |
| 0164254 | Medicaid | MT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120322000652 | MT | Practitioner - Chiropractic | 2860652120 | Practice locations: Libby, MT |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - West Sunnyvale, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1115 Minnesota Ave
Libby, MT 59923-2303
Phone (406) 293-2741
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 907 | MT | MD | Professional Counselor |
| 907CHI | MT | MD | Chiropractor |
| CH00034225 | WA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425340800000",
"number": "1992910319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1115 MINNESOTA AVE",
"city": "LIBBY",
"state": "MT",
"postal_code": "59923",
"telephone_number": "406-293-2741",
"fax_number": "406-293-2741"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1115 MINNESOTA AVE",
"city": "LIBBY",
"state": "MT",
"postal_code": "59923",
"telephone_number": "406-293-2741",
"fax_number": "406-293-2741"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIDDEL",
"first_name": "JOEL",
"middle_name": "A",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-10",
"last_updated": "2015-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MT",
"license": "907CHI",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH00034225",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00314296",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "40453",
"state": "MT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0164242",
"state": "MT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0164254",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Libby, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2015; 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.