Organization Active NPI

Riesgraf Chiropractor Clinic LTD

  • Chiropractor
  • Chaska, MN
National Provider Identifier
1598933186
Registry record updated Feb 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
RIESGRAF CHIROPRACTOR CLINIC LTD
Practice address
1476 White Oak Dr
Chaska, MN 55318-2525
Phone
(952) 448-3900
NPI assigned
Feb 15, 2008
Last updated
Feb 14, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2013

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

Authorized official

Name
Alan Gerard Riesgraf, D.C.NPI 1952406811
Title
Owner
Phone
(952) 448-3900

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
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

1476 White Oak Dr
Chaska, MN 55318-2525

Mailing address

1476 White Oak Dr
Chaska, MN 55318-2525
Phone (952) 448-3900

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060321000599 MN Part B Supplier - Clinic/Group Practice 7719994474 Receives reassigned benefits from 1 practitioner
Practice locations: Chaska, MN

National Provider Directory

National Provider Directory

Locations

1476 White Oak Dr
Chaska, MN 55318
Phone (952) 448-3900

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1203033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360800000000",
    "number": "1598933186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1476 WHITE OAK DR",
            "city": "CHASKA",
            "state": "MN",
            "postal_code": "553182525",
            "telephone_number": "952-448-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1476 WHITE OAK DR",
            "city": "CHASKA",
            "state": "MN",
            "postal_code": "553182525",
            "telephone_number": "952-448-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIESGRAF CHIROPRACTOR CLINIC LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-15",
        "last_updated": "2013-02-14",
        "status": "A",
        "authorized_official_last_name": "RIESGRAF",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "GERARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-448-3900",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chaska, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2013; 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.