Individual provider Active NPI

Andrea Rachel Ruhland, D.C.

  • Chiropractor
  • Lakeville, MN
National Provider Identifier
1497895296
Registry record updated Oct 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2632 Issued in MN
Practice address
16283 Ipava Ave
Lakeville, MN 55044-4658
Phone
(952) 898-2287
Fax
(985) 898-3287
NPI assigned
Feb 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2632 MN Primary

Addresses

Primary practice location

16283 Ipava Ave
Lakeville, MN 55044-4658

Mailing address

16283 Ipava Ave
Lakeville, MN 55044-4658
Phone (952) 898-2287

Other identifiers 1

IdentifierTypeStateIssuer
972828700MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Finish Line Wellness Group LLC CurrentSince Sep 23, 2021 Accepting new patients
Riverview Spine, P.a. Chiropractor PastSince Jul 1, 2005 Accepting new patients
Finish Line Wellness Past Accepting new patients

Organizations & group practices 3

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": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383091200000",
    "number": "1497895296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16283 IPAVA AVE",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550444658",
            "telephone_number": "952-898-2287",
            "fax_number": "985-898-3287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16283 IPAVA AVE",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550444658",
            "telephone_number": "952-898-2287",
            "fax_number": "985-898-3287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUHLAND",
        "first_name": "ANDREA",
        "middle_name": "RACHEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2013-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "2632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "972828700",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.