Active NPI
Raymond W Mielke, D.C.
- Orthopedic Chiropractor
- New Richland, MN
National Provider Identifier
1124020896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Chiropractor
- License
- 1496
- Practice address
- 131 Broadway Ave So
New Richland, MN 56072 - Phone
- (507) 463-3811
- Fax
- (507) 463-3812
- NPI assigned
- Aug 12, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Chiropractor | 111NX0800X | 1496 | MN | Primary |
Addresses
Primary practice location
131 Broadway Ave So
New Richland, MN 56072
Mailing address
PO Box 441
New Richland, MN 56072-0441
Phone (507) 463-3811
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3K036GR | Other | MN | BCBS PRACTICE |
| 3K037MI | Other | MN | BCBS INDIVIDUAL |
| 709825100 | Medicaid | MN |
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Steven M. Sokell, DPM, PC | Past | Accepting new patients | |
| Birmingham Pain Management & Rehabilitation Centers, PC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Birmingham, AL
- NPI 1841352929
-
- Primary Podiatric Medicine Podiatrist
- Birmingham, AL
- NPI 1306965066
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1124020896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 441",
"city": "NEW RICHLAND",
"state": "MN",
"postal_code": "560720441",
"telephone_number": "507-463-3811",
"fax_number": "507-463-3812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "131 BROADWAY AVE SO",
"city": "NEW RICHLAND",
"state": "MN",
"postal_code": "56072",
"telephone_number": "507-463-3811",
"fax_number": "507-463-3812"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIELKE",
"first_name": "RAYMOND",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-12",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "111NX0800X",
"taxonomy_group": "",
"desc": "Chiropractor, Orthopedic",
"state": "MN",
"license": "1496",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PRACTICE",
"identifier": "3K036GR",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS INDIVIDUAL",
"identifier": "3K037MI",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "709825100",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in New Richland, MN
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.