RIVER'S EDGE CHIROPRACTIC LLC
NPI 1699223966
Chiropractor in Mayfield Village, OH

Active since September 15, 2016
701 BETA DR, SUITE 18, MAYFIELD VILLAGE, OH 44143(440) 459-1414(440) 459-1347 Get Directions Write a Review

NPPES record last updated: December 9, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 21, 2016, Sep 15, 2016 (2 updates tracked since 2016).

About River's Edge Chiropractic Llc NPPES

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

RIVER'S EDGE CHIROPRACTIC LLC (NPI 1699223966) is a healthcare organization registered as a chiropractor in Mayfield Village, Ohio and active in the NPI registry since September 2016. The organization lists Richard Sullivan, Chiropractor / Owner, as its authorized official.

NPPES Registry Identity

NPI1699223966
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameRIVER'S EDGE CHIROPRACTIC LLC
Location Address701 BETA DR, SUITE 18Mayfield Village, OH 44143-2367
Mailing Address701 Beta Dr, Suite 18Mayfield Village, OH 44143-2367 · (440) 459-1414 · Fax (440) 459-1347
Fax(440) 459-1347
Organization SubpartNo
Authorized OfficialRichard SullivanChiropractor / Owner · (440) 459-1414
Enumeration DateSeptember 15, 2016
Last NPPES UpdateDecember 9, 20162 updates tracked since enumeration
✔ NPI 1699223966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in OH · 4186
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.
701 BETA DR, Mayfield Village, OH 44143

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

River's Edge Chiropractic 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 River's Edge Chiropractic LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1063793933
701 BETA DR SUITE 18
Mayfield Village, OH 44143
(773) 573-6525
✔ Accepts MedicareSame address

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 River's Edge Chiropractic LLC's NPI number?

The NPI number for River's Edge Chiropractic LLC is 1699223966. It was assigned to this organization in the NPPES registry on September 15, 2016.

Where is River's Edge Chiropractic LLC located?

River's Edge Chiropractic LLC is located at 701 Beta Dr Suite 18, Mayfield Village, OH 44143. The listed phone number is (440) 459-1414.

What is River's Edge Chiropractic LLC's specialty?

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

Is River's Edge Chiropractic LLC enrolled in Medicare?

Yes. River's Edge Chiropractic LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through River's Edge Chiropractic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to River's Edge Chiropractic 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 River's Edge Chiropractic LLC was last updated on December 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.