NPI Code Detail JSON Logo

1124841945 NPI number — DYLAN RIGGS DC

NPI Number: 1124841945
Health Care Provider/Practitioner: DYLAN RIGGS DC

Information about “1124841945” NPI (DYLAN RIGGS DC) exists in 1124841945 in HTML format HTML  |  1124841945 in plain Text format TXT  |  1124841945 in PDF (Portable Document Format) PDF  |  1124841945 in an XML format XML  formats.

NPI Number : 1124841945 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1124841945",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "RIGGS",
    "FirstName": "DYLAN",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "DC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1801 W 80 1/2 ST UNIT 308",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BLOOMINGTON",
    "MailingAddressStateName": "MN",
    "MailingAddressPostalCode": "55431-7101",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "509-944-0819",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "14290 AKRON AVENUE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ROSEMOUNT",
    "PracticeLocationAddressStateName": "MN",
    "PracticeLocationAddressPostalCode": "55068",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "866-770-1546",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/01/2024",
    "LastUpdateDate": "12/01/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "111N00000X",
        "TaxonomyName": "Chiropractor",
        "LicenseNumber": "7278",
        "LicenseNumberStateCode": "MN",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.