Organization Active NPI

Body First Chiropractic LLC

  • Chiropractor
  • Altoona, PA
National Provider Identifier
1992947931
Registry record updated Jun 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC009747 Issued in PA
Legal business name
BODY FIRST CHIROPRACTIC LLC
Practice address
1913 E Pleasant Valley Blvd
Suite #2
Altoona, PA 16602-7509
Phone
(814) 942-2304
Fax
(814) 942-8004
NPI assigned
Apr 6, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2009

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

Authorized official

Name
Dr. Christopher David Riddle, D.C.NPI 1407055379
Title
President
Phone
(814) 942-2304

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 DC009747 PA Primary

Addresses

Primary practice location

1913 E Pleasant Valley Blvd
Suite #2
Altoona, PA 16602-7509

Mailing address

1913 E Pleasant Valley Blvd
Suite #2
Altoona, PA 16602-7509
Phone (814) 942-2304

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090605000303 PA Part B Supplier - Clinic/Group Practice 2668522087 Receives reassigned benefits from 1 practitioner
Practice locations: Altoona, PA

National Provider Directory

National Provider Directory

Locations

1913 E Pleasant Valley Blvd
Altoona, PA 16602

1913 E Pleasant Valley Blvd
Ste 2
Altoona, PA 16602
Phone (814) 592-0009

Practitioners & affiliated clinicians

Practitioners 1

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": "1238976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245369600000",
    "number": "1992947931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1913 E PLEASANT VALLEY BLVD",
            "address_2": "SUITE #2",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166027509",
            "telephone_number": "814-942-2304",
            "fax_number": "814-942-8004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1913 E PLEASANT VALLEY BLVD",
            "address_2": "SUITE #2",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166027509",
            "telephone_number": "814-942-2304",
            "fax_number": "814-942-8004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY FIRST CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-06",
        "last_updated": "2009-06-19",
        "status": "A",
        "authorized_official_last_name": "RIDDLE",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-942-2304",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC009747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altoona, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2009; 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.