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
- Last updated
- Aug 12, 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 | 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 |
|---|---|---|---|
| 3606 | WI | MD | Optometrist |
| 4619 | MN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Doc DJR PC | Chiropractor | Current | Accepting new patients |
| Olson CC Wellness LLC | Chiropractor | Past | Accepting new patients |
| Michael J. Olson | 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, 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": "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.