Renata Rudi Rickels, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2016002493 Issued in MO

Practice address

1304B Brenda Ave
Perryville, MO 63775-2303

Phone

(573) 547-8300

Fax

(573) 547-8329

NPI assigned

Apr 29, 2016

Last updated

May 6, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Rickels Family Practice, LLC

  dba Perryville Chiropractic Center

  • Chiropractor
  • Perryville, MO
  • NPI 1083061097
  Medicare reassignment NPD Authorized official
• Perryville Health Center LLC

  dba Perryville Chiropractic Center

  • Chiropractor
  • Perryville, MO
  • NPI 1568891307
  NPD (past)

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

{
    "created_epoch": "1461888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462492800000",
    "number": "1396190146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304B BRENDA AVE",
            "city": "PERRYVILLE",
            "state": "MO",
            "postal_code": "637752303",
            "telephone_number": "573-547-8300",
            "fax_number": "573-547-8329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304B BRENDA AVE",
            "city": "PERRYVILLE",
            "state": "MO",
            "postal_code": "637752303",
            "telephone_number": "573-547-8300",
            "fax_number": "573-547-8329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICKELS",
        "first_name": "RENATA",
        "middle_name": "RUDI",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-29",
        "last_updated": "2016-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2016002493",
            "primary": true
        },
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "MO",
            "license": "2016002493",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jackson Charles Pugh, M.D.
• Sandeep C. Rao, M.D.
• Adam Joseph Reinagel, MD
• Bethany Joy Rhodes, SLP
• Rickels Family Practice, LLC (Perryville Chiropractic Center)
• Ashley Riddle
• Melisa Ann Rittenberg, MA, CCC-SLP
• Theodore Rogers, MD
• Casey Rohde, PA
• Karen Roth, PHARM.D.

• Chiropractor in Perryville, MO
• Providers in Perryville, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2016; 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.