Active NPI
Riley Sowle, D.C.
- Chiropractor
- Coon Rapids, MN
National Provider Identifier
1134526502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5993
- Practice address
- 1835 Gateway Dr.
Suite 104
Coon Rapids, MN 55448-1469 - Phone
- (763) 710-8888
- NPI assigned
- Dec 1, 2014
- Last updated
- Apr 16, 2015
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5993 | MN | Primary |
Addresses
Primary practice location
1835 Gateway Dr.
Suite 104
Coon Rapids, MN 55448-1469
Mailing address
1480 126TH LN NW
Coon Rapids, MN 55448-1469
Phone (763) 742-6659
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5993 | MN | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Moe Chiro Tres PLLC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1417392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429142400000",
"number": "1134526502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1480 126TH LN NW",
"city": "COON RAPIDS",
"state": "MN",
"postal_code": "554481469",
"telephone_number": "763-742-6659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1835 GATEWAY DR.",
"address_2": "SUITE 104",
"city": "COON RAPIDS",
"state": "MN",
"postal_code": "554481469",
"telephone_number": "763-710-8888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOWLE",
"first_name": "RILEY",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-12-01",
"last_updated": "2015-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "5993",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coon Rapids, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.