DR. DANA GARLAN RIEDERER DC
NPI 1104003649
Chiropractor in Chicago, IL

Active since January 28, 2008Accepts Medicare Assignment
1030 N CLARK ST, SUITE 610, CHICAGO, IL 60610(312) 943-0680 Get Directions Write a Review

NPPES record last updated: April 27, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Dana Garlan Riederer Dc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DANA GARLAN RIEDERER DC (NPI 1104003649) is an individual chiropractor in Chicago, Illinois, licensed in Illinois (038011099) and active in the NPI registry since January 2008. He is a graduate of Logan College Of Chiropractic (2007).

NPPES Registry Identity

NPI1104003649
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. DANA GARLAN RIEDERERCredential: DC
Location Address1030 N CLARK ST, SUITE 610Chicago, IL 60610-5467
Mailing Address1030 N Clark St, Suite 610Chicago, IL 60610-5467 · (312) 943-0680
Sole ProprietorNo
Medical School CMSLogan College Of ChiropracticGraduated 2007
Enumeration DateJanuary 28, 2008
Last NPPES UpdateApril 27, 2011
✔ NPI 1104003649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in IL · 038011099
Definition
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.
1030 N CLARK ST, Chicago, IL 60610

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Dana Garlan Riederer Dc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2668597154
PECOS Enrollment IDI20100921001112

Medicare Billing Reassignment

Medicare enrollment records show Dana Riederer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Chiropractor
223 W JACKSON BLVD STE 1016
Chicago, IL 60606
  • Reassigned Medicare billing, Illinois enrollment

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
1030 N CLARK ST
CHICAGO, IL 60610
Physical Therapist
1030 N CLARK ST, #500
CHICAGO, IL 60610
Psychologist (Health Service)
1030 N CLARK ST, SUITE 320
CHICAGO, IL 60610
Rehabilitation Hospital
1030 N CLARK ST, SUITE 500
CHICAGO, IL 60610
Internal Medicine
1030 N CLARK ST, STE 647
CHICAGO, IL 60610
Psychologist (Health Service)
1030 N CLARK ST
CHICAGO, IL 60610
Psychologist (Clinical)
1030 N CLARK ST, SUITE 303
CHICAGO, IL 60610
Clinic/Center (Health Service)
1030 N CLARK ST, SUITE 310
CHICAGO, IL 60610

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 Dana Riederer's NPI number?

The NPI number for Dana Riederer is 1104003649. It was assigned to this individual provider in the NPPES registry on January 28, 2008.

Where is Dana Riederer located?

Dana Riederer practices at 1030 N Clark St Suite 610, Chicago, IL 60610. The listed phone number is (312) 943-0680.

What is Dana Riederer's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Dana Riederer enrolled in Medicare?

Yes. Dana Riederer is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Dana Riederer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dana Riederer reassigns Medicare benefits to Pro Active Chiropractic PC (Chicago, IL). The 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 Dana Riederer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Dana Riederer was last updated on April 27, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.