Individual provider Active NPI

Thomas Craig Rice, DC

  • Chiropractor
  • Blaine, MN
National Provider Identifier
1205968609
Registry record updated Oct 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1469 Issued in MN
Practice address
11919 Central Ave NE
Blaine, MN 55434-3911
Phone
(763) 757-1660
Fax
(763) 757-4108
NPI assigned
Mar 12, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1469 MN Primary

Addresses

Primary practice location

11919 Central Ave NE
Blaine, MN 55434-3911

Mailing address

11919 Central Ave NE
Blaine, MN 55434-3911
Phone (763) 757-1660

Other identifiers 3

IdentifierTypeStateIssuer
230723OtherMNACN
879825700MedicaidMN
59701RIOtherMNBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101117001485 MN Practitioner - Chiropractic 5698961597 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1469MNMDGenetic Counselor (M.S.)

Practice roles

OrganizationSpecialtyStatusNew patients
Blaine Chiropractic Center PA Chiropractor CurrentSince Jun 24, 1978 Accepting new patients

Locations

11919 Central Ave NE
Minneapolis, MN 55434
Phone (763) 757-1600

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287964800000",
    "number": "1205968609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11919 CENTRAL AVE NE",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554343911",
            "telephone_number": "763-757-1660",
            "fax_number": "763-757-4108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11919 CENTRAL AVE NE",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554343911",
            "telephone_number": "763-757-1660",
            "fax_number": "763-757-4108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICE",
        "first_name": "THOMAS",
        "middle_name": "CRAIG",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-12",
        "last_updated": "2010-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "1469",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN",
            "identifier": "230723",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "879825700",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "59701RI",
            "state": "MN"
        }
    ],
    "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 Oct 25, 2010; 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.

Verify at the official NPI Registry.