Ricketts Clinic of Chiropractic, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

06525 Issued in IA

Legal business name

RICKETTS CLINIC OF CHIROPRACTIC, INC.

Practice address

1400 University Ave
Suite B
Dubuque, IA 52001-5917

Phone

(563) 588-0500

NPI assigned

Aug 1, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Robert Karl Ricketts, D.C.NPI 1083675052

Title

President

Phone

(563) 588-0500

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert Karl Ricketts, DC

  • Chiropractor
  • Dubuque, IA
  • NPI 1083675052
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1185926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185926400000",
    "number": "1235329533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 UNIVERSITY AVE",
            "address_2": "SUITE B",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520015917",
            "telephone_number": "563-588-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 UNIVERSITY AVE",
            "address_2": "SUITE B",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520015917",
            "telephone_number": "563-588-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICKETTS CLINIC OF CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-01",
        "last_updated": "2007-08-01",
        "status": "A",
        "authorized_official_last_name": "RICKETTS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "KARL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "563-588-0500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "06525",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0261552",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "I6518",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donald Harvey Reyerson, M.D.
• Amanda Reynolds
• Richard LC Corfman
• John William Richardson, M.D.
• Randie Richmond
• Robert Karl Ricketts, DC
• Michael James Rider, CRNA
• Garrett V. Ridgley Jr., M.D.
• Andrea Lea Ries, M.D.
• Karen T Ries, RDLD

• Chiropractor in Dubuque, IA
• Providers in Dubuque, IA by specialty
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2007; 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.