KIERRA RIDDER
NPI 1477438794
Chiropractor in Rockford, IL

Active since August 06, 2025
4350 MORSAY DR, ROCKFORD, IL 61107(815) 398-4500 Get Directions Write a Review

NPPES record last updated: August 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kierra Ridder NPPES

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

KIERRA RIDDER (NPI 1477438794) is an individual chiropractor in Rockford, Illinois, licensed in Illinois (038.014319) and active in the NPI registry since August 2025. She is a graduate of Palmer College Chiropractic - Davenport (2025).

NPPES Registry Identity

NPI1477438794
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameKIERRA RIDDER
Location Address4350 MORSAY DRRockford, IL 61107-4877
Mailing Address4350 Morsay DrRockford, IL 61107-4877 · (815) 398-4500
Sole ProprietorNo
Medical School CMSPalmer College Chiropractic - DavenportGraduated 2025
Enumeration DateAugust 6, 2025
NPPES CertifiedAugust 6, 2025
NPI 1477438794 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in IL · 038.014319
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.
4350 MORSAY DR, Rockford, IL 61107

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kierra Ridder is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID840795704
PECOS Enrollment IDI20250923003096

Other Providers at the Same Location NPPES 3

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

Chiropractor
4350 MORSAY DR
ROCKFORD, IL 61107
Chiropractor
4350 MORSAY DR
ROCKFORD, IL 61107
Chiropractor
4350 MORSAY DR
ROCKFORD, IL 61107

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 Kierra Ridder's NPI number?

The NPI number for Kierra Ridder is 1477438794. It was assigned to this individual provider in the NPPES registry on August 6, 2025.

Where is Kierra Ridder located?

Kierra Ridder practices at 4350 Morsay Dr, Rockford, IL 61107. The listed phone number is (815) 398-4500.

What is Kierra Ridder's specialty?

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

Is Kierra Ridder enrolled in Medicare?

Yes. Kierra Ridder is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kierra Ridder was last updated on August 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.