Active NPI
Daniel James Richter, D.C.
- Chiropractor
- Blaine, MN
National Provider Identifier
1154546901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4619
- Practice address
- 13060 Central Ave NE
Suite 100
Blaine, MN 55434-4149 - Phone
- (763) 566-8023
- Fax
- (763) 566-0630
- NPI assigned
- Apr 16, 2007
- 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 | 4619 | MN | Primary |
Addresses
Primary practice location
13060 Central Ave NE
Suite 100
Blaine, MN 55434-4149
Mailing address
13060 Central Ave NE
Suite # 100
Blaine, MN 55434-4149
Phone (763) 566-8023
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4619 | MN | MD | Chiropractor |
| 3606 | WI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Doc DJR PC | Chiropractor | Current | Accepting new patients |
| Michael J. Olson | Chiropractor | Past | Accepting new patients |
| Olson CC Wellness LLC | Chiropractor | Past | Accepting new patients |
Locations
13060 Central Ave NE
Ste 100
Blaine, MN 55434
Phone (763) 566-8023
Organizations & group practices 3
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.
-
- Chiropractor
- Blaine, MN
- NPI 1336515550
-
- Chiropractor
- Osceola, WI
- NPI 1316147077
-
- Chiropractor
- Osceola, WI
- NPI 1255842779
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439337600000",
"number": "1154546901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13060 CENTRAL AVE NE",
"address_2": "SUITE # 100",
"city": "BLAINE",
"state": "MN",
"postal_code": "554344149",
"telephone_number": "763-566-8023",
"fax_number": "763-566-0630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13060 CENTRAL AVE NE",
"address_2": "SUITE 100",
"city": "BLAINE",
"state": "MN",
"postal_code": "554344149",
"telephone_number": "763-566-8023",
"fax_number": "763-566-0630"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHTER",
"first_name": "DANIEL",
"middle_name": "JAMES",
"name_prefix": "Mr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-16",
"last_updated": "2015-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "4619",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Blaine, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.