NPIMap

Organization Active NPI

Twin Cities Spine & Injury Rehabilitation, PLLC

  • Chiropractor
  • Lonsdale, MN
National Provider Identifier
1114218468
Registry record updated Apr 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5230 Issued in MN
Legal business name
TWIN CITIES SPINE & INJURY REHABILITATION, PLLC
Practice address
708 11TH Ave NE
Lonsdale, MN 55046-5015
Phone
(952) 200-1799
Fax
(952) 516-5240
NPI assigned
Apr 20, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2011

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

Authorized official

Name
Dr. Joshua R Rickert, DC
Title
Owner/Ceo
Phone
(952) 200-1799

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 5230 MN Primary

Addresses

Primary practice location

708 11TH Ave NE
Lonsdale, MN 55046-5015

Mailing address

708 11TH Ave NE
Lonsdale, MN 55046-5015
Phone (952) 200-1799

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1303257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303257600000",
    "number": "1114218468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 11TH AVE NE",
            "city": "LONSDALE",
            "state": "MN",
            "postal_code": "550465015",
            "telephone_number": "952-200-1799",
            "fax_number": "952-516-5240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 11TH AVE NE",
            "city": "LONSDALE",
            "state": "MN",
            "postal_code": "550465015",
            "telephone_number": "952-200-1799",
            "fax_number": "952-516-5240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWIN CITIES SPINE & INJURY REHABILITATION, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-20",
        "last_updated": "2011-04-20",
        "status": "A",
        "authorized_official_last_name": "RICKERT",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "952-200-1799",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lonsdale, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2011; 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.