Individual provider Active NPI

Ridge M Pidde, DC

  • Chiropractor
  • Saint Paul, MN
National Provider Identifier
1326030115
Registry record updated Sep 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4136 Issued in MN
Practice address
2004 Ford Pkwy
Saint Paul, MN 55116-1931
Phone
(651) 265-0000
Fax
(651) 265-0001
NPI assigned
Aug 17, 2005
Last updated
Sep 15, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3805 WI
Chiropractor 111N00000X 4136 MN Primary

Addresses

Primary practice location

2004 Ford Pkwy
Saint Paul, MN 55116-1931

Mailing address

2004 Ford Pkwy
Saint Paul, MN 55116-1931
Phone (651) 265-0000

Other practice location 1

7373 France Ave S Ste 202
Edina, MN 55435-4551
Phone (952) 835-1311

Other identifiers 1

IdentifierTypeStateIssuer
38935900MedicaidWI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rpidde564777@excellian.direct.allina.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110112000233 MN Practitioner - Chiropractic 9234194655 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
85.6 of 100Reported as group
Quality
72.5
Promoting interoperability
100
Improvement activities
40
Cost
77.07

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3805WIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Provider Group of Minnesota Chiropractor CurrentSince Apr 5, 2024 Accepting new patients
Allina Health System Current Accepting new patients
Allina Health System CurrentSince Dec 31, 2022 Accepting new patients
Life Wellness Center, Inc. Chiropractor PastSince Oct 1, 2000 Accepting new patients
Luedtke-Storm-Mackey Chiropractic Clinic SC Chiropractor PastSince Nov 13, 2022 Accepting new patients
Life Wellness Center-Eagan, PA Chiropractor Past Accepting new patients
Allina Health System PastSince Apr 5, 2024 Accepting new patients

Locations

440 Elm St E
Annandale, MN 55302
Phone (320) 682-5225

2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640

7373 France Ave S
Ste 100
Minneapolis, MN 55435
Phone (877) 414-2533

7373 France Ave S
Ste 202
Minneapolis, MN 55435
Phone (952) 835-1311

Interoperability endpoints

  • Direct secure messaging: ridge.pidde.1@29676.direct.athenahealth.com
  • Direct secure messaging: rpidde564777@excellian.direct.allina.com

Organizations & group practices 7

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": "1124236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631664000000",
    "number": "1326030115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2004 FORD PKWY",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551161931",
            "telephone_number": "651-265-0000",
            "fax_number": "651-265-0001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2004 FORD PKWY",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551161931",
            "telephone_number": "651-265-0000",
            "fax_number": "651-265-0001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7373 France Ave S Ste 202",
            "address_purpose": "LOCATION",
            "city": "Edina",
            "state": "MN",
            "postal_code": "554354551",
            "country_code": "US",
            "telephone_number": "952-835-1311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIDDE",
        "first_name": "RIDGE",
        "middle_name": "M",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-17",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3805",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38935900",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rpidde564777@excellian.direct.allina.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/PDF/TXT",
            "address_1": "7373 France Ave S Ste 202",
            "city": "Edina",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554354551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.