Tyler Riesgraf, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6435 Issued in MN

Practice address

14413 Excelsior Blvd
Minnetonka, MN 55345-5821

Phone

(952) 746-1506

Fax

(952) 746-1508

NPI assigned

Dec 6, 2017

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

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Chiropractic and Wellness Center of Albertville PLLCGroup PAC ID 0749468932, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Chiropractic and Wellness Center of Albertville PLLC

  • Chiropractor
  • Albertville, MN
  • NPI 1770802019
  Medicare reassignment Care Compare group NPD
• Healthsource of Minnetonka LLC

  • Chiropractor
  • Minnetonka, MN
  • NPI 1164899795
  Medicare reassignment NPD

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

{
    "created_epoch": "1512518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512518400000",
    "number": "1083129514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14413 EXCELSIOR BLVD",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553455821",
            "telephone_number": "952-746-1506",
            "fax_number": "952-746-1508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14413 EXCELSIOR BLVD",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553455821",
            "telephone_number": "952-746-1506",
            "fax_number": "952-746-1508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIESGRAF",
        "first_name": "TYLER",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-06",
        "last_updated": "2017-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn (Kelly) Richey
• Barbara J Richie, DDS
• Susan Block Richter, P.T.
• Ridgeview Clinics
• Ridgeview Clinics
• Robin P Riggs, MSW LICSW
• Denise Riley, APRN
• Karen Baxter Riley, FNP-BC
• Marilyn Rima, RN, CNP
• Mary Rinden, MA, LICSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2017; 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.