DARYL RIDGEWAY DC LLC
NPI 1053506097
Chiropractor in Wentzville, MO
About Daryl Ridgeway Dc Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DARYL RIDGEWAY DC LLC (NPI 1053506097) is a healthcare organization registered as a chiropractor in Wentzville, Missouri and active in the NPI registry since September 2007. The organization lists Daryl Lee Ridgeway, Chiropractor, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Daryl Ridgeway Dc Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Daryl Ridgeway Dc LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Daryl Ridgeway Dc LLC's NPI number?
The NPI number for Daryl Ridgeway Dc LLC is 1053506097. It was assigned to this organization in the NPPES registry on September 12, 2007.
Where is Daryl Ridgeway Dc LLC located?
Daryl Ridgeway Dc LLC is located at 1023 Main Plaza Dr, Wentzville, MO 63385. The listed phone number is (636) 639-8944.
What is Daryl Ridgeway Dc LLC's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Daryl Ridgeway Dc LLC enrolled in Medicare?
Yes. Daryl Ridgeway Dc LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Daryl Ridgeway Dc LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Daryl Ridgeway Dc LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Daryl Ridgeway Dc LLC was last updated on September 12, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Daryl Ridgeway Dc Llc · NPI 1053506097
Chiropractor organization in Wentzville, Missouri. Organization record, active in the CMS NPPES registry since September 12, 2007.
## Identity
- **NPI:** 1053506097 (Entity type: Organization)
- **Enumerated:** September 12, 2007
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **Organization subpart:** No
- **Authorized official:** Daryl Ridgeway, CHIROPRACTOR
## Practice location
- **Address:** 1023 MAIN PLAZA DR, Wentzville, MO 63385-1170
- **Phone:** (636) 639-8944
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Chiropractic) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 12, 2007
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Source: [NPI Profile](https://npiprofile.com/npi/1053506097) · Data from the CMS NPPES public registry.