NPIMap

Organization Active NPI

Riverview Spine, P.a.

  • Chiropractor
  • Bloomington, MN
National Provider Identifier
1275742900
Registry record updated Aug 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4499 Issued in MN
Legal business name
RIVERVIEW SPINE, P.A.
Practice address
5402 W. Old Shakopee Road
Bloomington, MN 55437
Phone
(952) 884-1507
Fax
(952) 884-6744
NPI assigned
May 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2014

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

Authorized official

Name
Dr. Rodney Adam Opferkew, D.C.NPI 1588746655
Title
President/Owner
Phone
(952) 884-1507

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 4499 MN Primary

Addresses

Primary practice location

5402 W. Old Shakopee Road
Bloomington, MN 55437

Mailing address

5402 W. Old Shakopee Road
Bloomington, MN 55437
Phone (952) 884-1507

Other names 1

  • Premier Health Chiropractic of Bloomington Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060109000100 MN Part B Supplier - Clinic/Group Practice 8426071259 Receives reassigned benefits from 1 practitioner
Practice locations: Bloomington, MN

National Provider Directory

National Provider Directory

Locations

5402 W Old Shakopee Rd
Minneapolis, MN 55437
Phone (952) 884-1507

Practitioners & affiliated clinicians

Practitioners 8

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

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409011200000",
    "number": "1275742900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5402 W. OLD SHAKOPEE ROAD",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "55437",
            "telephone_number": "952-884-1507",
            "fax_number": "952-884-6744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5402 W. OLD SHAKOPEE ROAD",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "55437",
            "telephone_number": "952-884-1507",
            "fax_number": "952-884-6744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERVIEW SPINE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2014-08-26",
        "status": "A",
        "authorized_official_last_name": "OPFERKEW",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_middle_name": "ADAM",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "952-884-1507",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Health Chiropractic of Bloomington",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Bloomington, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2014; 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.