Individual provider Active NPI

Rhea Marie Dykoski, L.AC., DIPL.O.M.

  • Acupuncturist
  • Excelsior, MN
National Provider Identifier
1609214634
Registry record updated Jun 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
1618 Issued in MN
Practice address
24000 Highway 7
Excelsior, MN 55331-2939
Phone
(952) 474-3016
NPI assigned
Jun 12, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 1618 MN Primary

Addresses

Primary practice location

24000 Highway 7
Excelsior, MN 55331-2939

Mailing address

516 Driftwood Rd
New Brighton, MN 55112-2567
Phone (651) 214-5525

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1618MNMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1370995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370995200000",
    "number": "1609214634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 DRIFTWOOD RD",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "551122567",
            "telephone_number": "651-214-5525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24000 HIGHWAY 7",
            "city": "EXCELSIOR",
            "state": "MN",
            "postal_code": "553312939",
            "telephone_number": "952-474-3016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYKOSKI",
        "first_name": "RHEA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "L.AC., DIPL.O.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-12",
        "last_updated": "2013-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MN",
            "license": "1618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Excelsior, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.