RIVERSIDE CHIROPRACTIC, LLC (NPI# 1003973868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003973868 |
| Entity Type | Organization |
| Organization Name | RIVERSIDE CHIROPRACTIC, LLC |
| Practice Address |
104 E Main St Lower Waterford WI 53185-4302 |
| Practice Telephone | 2625143600 |
| Practice Fax Number | 2625143836 |
| Mailing Telephone | 2625143600 |
| Mailing Fax Number | 2625143836 |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JENNY R GEIGER (MEMBER-MANAGER) |
| Authorized Official Telephone | 26251436000 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 3469-012 | WI | Chiropractic Providers |
| Street Address |
104 E MAIN ST LOWER |
| City | WATERFORD |
| State | WI |
| Zip Code | 53185-4302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508004227 | Jenny R Geiger-putra | Chiropractor | 104 E Main St, Waterford, WI 53185-4302 | 2009-02-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649755695 | Alyssa Jane Revolinski | Respite Care | 269435 S Elm Lane, Waterford, WI 53185 | 2018-09-26 |
| 1871973370 | Julie Minikowski | Community Health Worker | 207 Milwaukee Avenue, A, Waterford, WI 53185 | 2015-06-01 |
| 1629235031 | Fluegge Optical | Technician/Technologist | 920 E Main Street, Waterford, WI 53185 | 2008-05-22 |
| 1659598209 | Julie Michals | Occupational Therapist | 1701 Sharp Road, Waterford, WI 53185 | 2007-04-18 |
| 1518072768 | Jennifer Jayne Decker | Family Medicine | 818 Forrest Ln, Waterford, WI 53185 | 2006-08-20 |
| 1215966908 | Amy Beth Flock | Physical Therapy Assistant | 2319 Fox Knoll Dr, Waterford, WI 53185 | 2006-07-03 |
| 1750762472 | Tesalia R Renteria | Family Medicine | 818 Forest Ln, Waterford, WI 53185 | 2015-06-18 |
| 1649651092 | Kathryn C Halyko | Pediatrics | 818 Forest Ln, Waterford, WI 53185 | 2015-06-11 |
| 1518109735 | Daniel A Allison | Family Medicine | 818 Forest Ln, Waterford, WI 53185 | 2009-04-02 |
| 1811178478 | Daniel Mark Gifford | Speech-Language Pathologist | 1701 Sharp Rd, Lakeview Specialty Hospital, Waterford, WI 53185 | 2007-11-23 |
| Find all providers in zip 53185 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396214326 | Andrew Wideman | Chiropractor | 5433 Dixie Hwy Ste 205, Waterford, MI 48329-1614 | 2018-11-20 |
| 1710412861 | Paul Robinson D.c.,pllc | Chiropractor | 3901 Highland Rd Ofc D-3, Waterford, MI 48328-2165 | 2017-04-26 |
| 1104371970 | Duncan Chiropractic Group of Waterford, Pllc | Chiropractor | 3801 Elizabeth Lake Rd, Waterford, MI 48328-3017 | 2016-08-22 |
| 1003243452 | Edward C Guzak | Chiropractor | 5140 Highland Rd, Waterford, MI 48327-1912 | 2013-10-01 |
| 1124393814 | Synergy Chiropractic Spine & Joint Center | Chiropractor | 1399 Dundee Dr, Waterford, MI 48327-2005 | 2012-03-14 |
| 1952692469 | Waterford Family Chiropractic Pllc | Chiropractor | 4000 W Walton Blvd Ste A, Waterford, MI 48329-4191 | 2011-05-02 |
| 1144481862 | Jennifer Michelle Jordan | Chiropractor | 262 Boston Post Road, Unit #8, Waterford, CT 06385-2053 | 2008-06-25 |
| 1245403757 | Jacqueline C Vaughn Dc PC | Chiropractor | 3093 Sashabaw, Ste B, Waterford, MI 48329-4089 | 2008-04-04 |
| 1851577274 | White Lake Chiropractic D O P C | Chiropractor | 6929 Highland Rd, Waterford, MI 48327-1679 | 2008-01-16 |
| 1386823623 | Sudowski Chiropractic Offices | Chiropractor | 210 Boston Post Rd, Waterford, CT 06385-2819 | 2007-11-02 |
| Find all providers in WATERFORD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.