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MR. RYDER MICHAEL CHURCH D.C.
NPI 1104898659
Chiropractor in Peoria, IL

Active since February 07, 2006Accepts Medicare Assignment
901 W GLEN AVE, SUITE A, PEORIA, IL 61614(309) 693-1212(309) 693-2147 Get Directions Write a Review

NPPES record last updated: January 30, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Ryder Michael Church D.c. NPPES

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

MR. RYDER MICHAEL CHURCH D.C. (NPI 1104898659) is an individual chiropractor in Peoria, Illinois, licensed in Illinois (038007166) and active in the NPI registry since February 2006. He is a graduate of Other (1992).

NPPES Registry Identity

NPI1104898659
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameMR. RYDER MICHAEL CHURCHCredential: D.C.
Location Address901 W GLEN AVE, SUITE APeoria, IL 61614-4836
Mailing Address901 W Glen Ave, Suite APeoria, IL 61614-4836 · (309) 693-1212 · Fax (309) 693-2147
Phone(309) 693-1212
Fax(309) 693-2147
Sole ProprietorYes
Medical School CMSOtherGraduated 1992
Enumeration DateFebruary 7, 2006
Last NPPES UpdateJanuary 30, 2014
✔ NPI 1104898659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in IL · 038007166
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.
901 W GLEN AVE, Peoria, IL 61614
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Other Identifiers 4

Medicare UPINK02450IL
Medicare PIN207731IL
Medicaid038007166IL
Other454494406IL · Ein

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Ryder Michael Church D.c. 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 ID3971406257
PECOS Enrollment IDI20040204000198

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
1,002 services71 patients

Other Providers at the Same Location NPPES 5

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

COTTON CHIROPRACTIC, LLC
Chiropractor
901 W GLEN AVE, SUITE A
PEORIA, IL 61614
Peoria County (309) 693-1212
DR. DEAN R TROTTER D.C.
Chiropractor
901 W GLEN AVE, SUITE A
PEORIA, IL 61614
Peoria County (309) 693-1212
DR. TRACIE A KHOURY DC
Chiropractor
901 W GLEN AVE, SUITE A
PEORIA, IL 61614
Peoria County (309) 693-1212
TROTTER CHIROPRACTIC OFFICE, P.C.
Chiropractor
901 W GLEN AVE, SUITE A
PEORIA, IL 61614
Peoria County (309) 693-1212
DR. BRAD ANTHONY COTTON D.C.
Chiropractor
901 W GLEN AVE, SUITE A
PEORIA, IL 61614
Peoria County (309) 693-1212

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 Ryder Church's NPI number?

The NPI number for Ryder Church is 1104898659. It was assigned to this individual provider in the NPPES registry on February 7, 2006.

Where is Ryder Church located?

Ryder Church practices at 901 W Glen Ave Suite A, Peoria, IL 61614. The listed phone number is (309) 693-1212.

What is Ryder Church's specialty?

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

Is Ryder Church enrolled in Medicare?

Yes. Ryder Church 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.

What insurance does Ryder Church accept?

Health plans from HealthPartners list Ryder Church as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ryder Church was last updated on January 30, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.