DR. RILEY FAKE (NPI# 1679031348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679031348 |
| Entity Type | Individual |
| Full Name | DR. RILEY FAKE |
| Credential | DC |
| Practice Address |
1914 Centre St West Roxbury MA 02132-2535 |
| Mailing Address |
1 Credit Union Way Fl 3 Randolph MA 02368-4633 |
| Practice Telephone | 6173234377 |
| Practice Fax Number | 6173238077 |
| Mailing Telephone | 7819613370 |
| Mailing Fax Number | 7819611291 |
| Enumeration Date | 2019-03-12 |
| Last Update Date | 2019-03-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 3651 | MA | Chiropractic Providers |
| Street Address |
1914 CENTRE ST |
| City | WEST ROXBURY |
| State | MA |
| Zip Code | 02132-2535 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164890299 | Katherine W Tarantino | Physical Therapist | 1914 Centre St, West Roxbury, MA 02132-2535 | 2015-09-06 |
| 1437791340 | Nathaniel Ripic | Physical Therapist | 1914 Centre St, West Roxbury, MA 02132-2535 | 2019-10-11 |
| 1386292902 | Daniel Carey | Physical Therapist | 1914 Centre St, West Roxbury, MA 02132-2535 | 2019-08-27 |
| 1629546494 | Lindsey O'neil | Physical Therapist | 1914 Centre St, West Roxbury, MA 02132-2535 | 2018-11-09 |
| 1518446319 | Kathleen Murphy | Physical Therapist | 1914 Centre St, West Roxbury, MA 02132-2535 | 2018-08-13 |
| 1629594015 | Ian Wedemeyer | Physical Therapist | 1914 Centre St, West Roxbury, MA 02132-2535 | 2017-08-17 |
| 1922532282 | Matthew Kraft | Physical Therapist | 1914 Centre St, West Roxbury, MA 02132 | 2017-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992299663 | Ashley Monteiro | Counselor | 15 Elgin St, West Roxbury, MA 02132 | 2018-06-18 |
| 1033639943 | Nahed Lakkis | Dentist | 80 New Haven St, West Roxbury, MA 02132 | 2017-06-21 |
| 1053780692 | Yanpeng Ding | Optometrist | 2034a Centre St, West Roxbury, MA 02132 | 2015-09-24 |
| 1013303437 | Alaa Alrababa I | Dentist | 125 Edgemere Road, 202, West Roxbury, MA 02132 | 2015-04-13 |
| 1023426483 | Kearstin F. Thomas D.m.d.,pc | Dentist | 2075 Centre Street, West Roxbury, MA 02132 | 2014-07-30 |
| 1003226630 | Beyond Independent Living LLC | Case Management | 1208b Vfw Parkway, Suite 301, Boston, MA 02132 | 2014-05-05 |
| 1780920223 | Kysa Christie | Psychologist | 1400 Vfw Parkway (sci 128), West Roxbury, MA 02132 | 2013-01-02 |
| 1629324652 | Mohamed Al-janabi | Dentist | 250 Spring St, Apt 18, West Roxbury, MA 02132 | 2012-07-27 |
| 1265704787 | Ronda Denise Jones | Case Manager/Care Coordinator | 2077 Centre Street, West Roxbury, MA 02132 | 2012-01-30 |
| 1306123419 | Hung Doan | Pharmacist | 1065 Truman Highway, Hyde Park, MA 02132 | 2011-11-03 |
| Find all providers in zip 02132 | ||||
| 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 |
|---|---|---|---|---|
| 1316039399 | Mark A Apazidis | Chiropractor | 1765 Centre St, West Roxbury, MA 02132-1535 | 2006-09-28 |
| 1316052863 | Robert William Jackson | Chiropractor | 2101 Centre St, West Roxbury, MA 02132-3317 | 2006-08-21 |
| 1720066160 | Stephen Thomas Flanagan | Chiropractor | 2075 Centre St, West Roxbury, MA 02132-3313 | 2006-01-05 |
| 1194928820 | Centre Chiropractic, P.C. | Chiropractor | 1765 Centre St, West Roxbury, MA 02132-1535 | 2007-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477151454 | Rachelle H. King, D.c. | Chiropractor | 61 Central Sq Ste 4, Chelmsford, MA 01824-3096 | 2020-10-13 |
| 1356949515 | Hudson Chiropractic Center, Inc. | Chiropractor | 43 Broad St Ste A102, Hudson, MA 01749-2558 | 2020-10-11 |
| 1699372136 | Marie Beh Buckhout | Chiropractor | 517 Washington Street, Newton, MA 02458 | 2020-10-07 |
| 1295340735 | Kacey Jo King | Chiropractor | 218 Shrewsbury St # 105, Worcester, MA 01604-4652 | 2020-09-11 |
| 1982218103 | Western Mass Chiropractic PC | Chiropractor | 275 Bicentennial Hwy Ste 211, Springfield, MA 01118-1965 | 2020-09-04 |
| 1467063776 | Gardner Family Chiropractic Inc. | Chiropractor | 123 Whitney St, Gardner, MA 01440-3247 | 2020-08-11 |
| 1386252922 | Thomas Chiropractic, Inc. | Chiropractor | 200 Jefferson Rd Ste 106, Wilmington, MA 01887-1999 | 2020-07-20 |
| 1003431339 | Brandon Smolarek | Chiropractor | 269 W Main St Ste 3b, Northborough, MA 01532-2382 | 2020-06-12 |
| 1205468345 | Derrick Pallis | Chiropractor | 28 Philip St, Medfield, MA 02052-2705 | 2020-02-06 |
| 1790316529 | Becoming Balanced LLC | Chiropractor | 3 Littleton Rd Ste 5, Westford, MA 01886-3169 | 2020-01-30 |
| Find all providers with the same taxonomy | ||||
| City | WEST ROXBURY |
| Zip Code | 02132 |
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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.