Allen Kenneth Rydberg, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3212 Issued in MN

Practice address

200 Thompson Ave E
Saint Paul, MN 55118-3219

Phone

(651) 451-6839

Fax

(651) 451-2928

NPI assigned

Oct 16, 2006

Last updated

Jul 25, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Allen Rydberg P.a.Group PAC ID 8325223506, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Allen Rydberg P.a.

  dba Restore-U Chiropractic

  • Chiropractor
  • West St Paul, MN
  • NPI 1164724332
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690243200000",
    "number": "1124118351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 THOMPSON AVE E",
            "city": "WEST ST PAUL",
            "state": "MN",
            "postal_code": "551183219",
            "telephone_number": "651-451-6839",
            "fax_number": "651-451-2928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 THOMPSON AVE E",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551183219",
            "telephone_number": "651-451-6839",
            "fax_number": "651-451-2928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYDBERG",
        "first_name": "ALLEN",
        "middle_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN PROVIDER  ID",
            "identifier": "231904",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA PROVIDER ID",
            "identifier": "44-40114",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD ID",
            "identifier": "5C661RO",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachael Girard Ryan, MSW, LICSW
• Robin Lee Ryan, MA LMFT
• Taylor Ryan
• Whitney Ryan, LICSW
• Benjamin Ryba-White, M.D.
• Danielle Rydberg
• June Marie Rydberg, MS CCC SLP
• Gage Ryder
• Jan Marie Rygh, PT
• Amanda Kay Rynda, DNP, CNP

• Chiropractor in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; 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.