Rickels Family Practice, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2016002493 Issued in MO

Legal business name

RICKELS FAMILY PRACTICE, LLC

Practice address

1304B Brenda Ave
Perryville, MO 63775-2303

Phone

(573) 547-8300

Fax

(573) 547-8329

NPI assigned

May 19, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Renata Rudi Rickels, D.C.NPI 1396190146

Title

Owner

Phone

(573) 547-8300

Specialties & licenses 2

Addresses

Other names 1

• Perryville Chiropractic Center Doing business as

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Renata Rudi Rickels, D.C.

  • Chiropractor
  • Perryville, MO
  • NPI 1396190146
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1463616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463616000000",
    "number": "1083061097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304B BRENDA AVE",
            "city": "PERRYVILLE",
            "state": "MO",
            "postal_code": "637752303",
            "telephone_number": "573-547-8300",
            "fax_number": "573-547-8329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304B BRENDA AVE",
            "city": "PERRYVILLE",
            "state": "MO",
            "postal_code": "637752303",
            "telephone_number": "573-547-8300",
            "fax_number": "573-547-8329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICKELS FAMILY PRACTICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-19",
        "last_updated": "2016-05-19",
        "status": "A",
        "authorized_official_last_name": "RICKELS",
        "authorized_official_first_name": "RENATA",
        "authorized_official_middle_name": "RUDI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-547-8300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2016002493",
            "primary": true
        },
        {
            "code": "111NN1001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor, Nutrition",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Perryville Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Prorehab PC
• Jackson Charles Pugh, M.D.
• Sandeep C. Rao, M.D.
• Adam Joseph Reinagel, MD
• Bethany Joy Rhodes, SLP
• Renata Rudi Rickels, D.C.
• Ashley Riddle
• Melisa Ann Rittenberg, MA, CCC-SLP
• Theodore Rogers, MD
• Casey Rohde, PA

• Chiropractor in Perryville, MO
• Providers in Perryville, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.