Mitch L Reynolds, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4484 Issued in MN

Practice address

222 2ND Ave SW
Pipestone, MN 56164-1669

Phone

(507) 825-2214

NPI assigned

Oct 5, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 2003

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pipestone Family Chiropractic, PA

  • Chiropractor
  • Pipestone, MN
  • NPI 1497951073
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1003902206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 2ND AVE SW",
            "city": "PIPESTONE",
            "state": "MN",
            "postal_code": "561641669",
            "telephone_number": "507-825-2214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 2ND AVE SW",
            "city": "PIPESTONE",
            "state": "MN",
            "postal_code": "561641669",
            "telephone_number": "507-825-2214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "MITCH",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4484",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04016009",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "228L3PI",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pipestone Family Chiropractic, PA
• Maricia Joy Pronk, PA-C
• Matthew Paul Raschke, D.C.
• Ronald Lee Rasmussen
• Re Active Wellness LLC
• Ronald L. Rasmussen, DDS, Inc
• Sanford Medical Center
• Cindy A. Sash, PA
• Josephine Reyes Schelhaas, PSYCHOLOGY GRADUATE
• Lorelei Schelhaas

• Chiropractor in Pipestone, MN
• Providers in Pipestone, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.