Individual provider Active NPI

Jess Rietzke, D.C, B.S.

  • Chiropractor
  • Osborne, KS
National Provider Identifier
1356762678
Registry record updated Jan 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
APPLIED FOR Issued in KS
Practice address
121 W Main St
Osborne, KS 67473-2402
Phone
(785) 346-2023
NPI assigned
Jan 5, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X APPLIED FOR KS Primary

Addresses

Primary practice location

121 W Main St
Osborne, KS 67473-2402

Mailing address

121 W Main St
Osborne, KS 67473-2402

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140430001532 KS Practitioner - Chiropractic 6608006812 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osborne Chiropractic Center LLCGroup PAC ID 9638194897, 2 clinicians

Practice addresses (Care Compare)

121 W Main St
Osborne, KS 67473-2402
Phone (785) 346-2023

121 W Main St Pob
Suite 148
Osborne, KS 67473-2402

PO Box
Suite 148
Osborne, KS 67473-0148

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
APPLIED FORKSMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Osborne Chiropractic Center LLC Chiropractor CurrentSince Apr 17, 2014 Accepting new patients

Locations

121 W Main St
Osborne, KS 67473
Phone (785) 346-2020

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": "1388880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388880000000",
    "number": "1356762678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 W MAIN ST",
            "city": "OSBORNE",
            "state": "KS",
            "postal_code": "674732402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 W MAIN ST",
            "city": "OSBORNE",
            "state": "KS",
            "postal_code": "674732402",
            "telephone_number": "785-346-2023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIETZKE",
        "first_name": "JESS",
        "credential": "D.C, B.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-01-05",
        "last_updated": "2014-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "APPLIED FOR",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Osborne, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2014; 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.