Organization Active NPI

Rikke Chiropractic PC

  • Sports Physician Chiropractor
  • Palo Alto, CA
National Provider Identifier
1508624024
Registry record updated Feb 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
Legal business name
RIKKE CHIROPRACTIC PC
Practice address
609 Cowper St
Palo Alto, CA 94301-1808
Phone
(650) 484-0110
Fax
(650) 640-0110
NPI assigned
Mar 8, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2025

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

Authorized official

Name
Dr. Rikke Johansen, DC, CCSP, EMT, CPTNPI 1124079397
Title
Ceo
Phone
(650) 853-1800

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NS0005X Primary

Addresses

Primary practice location

609 Cowper St
Palo Alto, CA 94301-1808

Mailing address

609 Cowper St
Palo Alto, CA 94301-1808
Phone (650) 484-0110

Other names 1

  • RiKKE Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250221000460 CA Part B Supplier - Clinic/Group Practice 8123548179 Receives reassigned benefits from 2 practitioners
Practice locations: Palo Alto, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1709856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739491200000",
    "number": "1508624024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 COWPER ST",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943011808",
            "telephone_number": "650-484-0110",
            "fax_number": "650-640-0110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 COWPER ST",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943011808",
            "telephone_number": "650-484-0110",
            "fax_number": "650-640-0110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIKKE CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-08",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A",
        "authorized_official_last_name": "JOHANSEN",
        "authorized_official_first_name": "RIKKE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "650-853-1800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC, CCSP, EMT, CPT"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RiKKE Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "RiKKE Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palo Alto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2025; 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.