Individual provider Active NPI

Richard Vincent Peaslee, D.C.

  • Chiropractor
  • Isanti, MN
National Provider Identifier
1063440261
Registry record updated Nov 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4273 Issued in MN
Practice address
118 W. Main Street
Isanti, MN 55040-0051
Phone
(763) 444-9737
Fax
(763) 444-6540
NPI assigned
Jun 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4273 MN Primary

Addresses

Primary practice location

118 W. Main Street
Isanti, MN 55040-0051

Mailing address

118 W. Main Street
Isanti, MN 55040-0051
Phone (763) 444-9737

Other identifiers 2

IdentifierTypeStateIssuer
214E3PEOtherMNMINNESOTA BC/BS
09N35ISOtherMNMINNESOTA BC/BS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Volker Sports & Physical Medicine PLLC PastSince Nov 24, 2025 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193961600000",
    "number": "1063440261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 W. MAIN STREET",
            "city": "ISANTI",
            "state": "MN",
            "postal_code": "550400051",
            "telephone_number": "763-444-9737",
            "fax_number": "763-444-6540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 W. MAIN STREET",
            "city": "ISANTI",
            "state": "MN",
            "postal_code": "550400051",
            "telephone_number": "763-444-9737",
            "fax_number": "763-444-6540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEASLEE",
        "first_name": "RICHARD",
        "middle_name": "VINCENT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2007-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4273",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MINNESOTA BC/BS",
            "identifier": "214E3PE",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MINNESOTA BC/BS",
            "identifier": "09N35IS",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Isanti, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.