Organization Active NPI

Redwood Chiropractic PSC

  • Chiropractor
  • Redwood Falls, MN
National Provider Identifier
1629450069
Registry record updated Jun 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5822 Issued in MN
Legal business name
REDWOOD CHIROPRACTIC PSC
Practice address
803 E Bridge St
Redwood Falls, MN 56283-1801
Phone
(320) 220-2661
NPI assigned
Jun 22, 2015
Last updated
Jun 22, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2015

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

Authorized official

Name
Dr. Chelsey Rettmann, D.C.NPI 1558758227
Title
Owner
Phone
(320) 220-2661

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 5822 MN Primary

Addresses

Primary practice location

803 E Bridge St
Redwood Falls, MN 56283-1801

Mailing address

803 E Bridge St
Redwood Falls, MN 56283-1801
Phone (320) 220-2661

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150914000185 MN Part B Supplier - Clinic/Group Practice 9032426739 Receives reassigned benefits from 4 practitioners
Practice locations: Redwood Falls, MN

National Provider Directory

National Provider Directory

Locations

821 E Bridge St
Redwood Falls, MN 56283
Phone (507) 637-8585

Practitioners & affiliated clinicians

Practitioners 6

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": "1434931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434931200000",
    "number": "1629450069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 E BRIDGE ST",
            "city": "REDWOOD FALLS",
            "state": "MN",
            "postal_code": "562831801",
            "telephone_number": "320-220-2661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 E BRIDGE ST",
            "city": "REDWOOD FALLS",
            "state": "MN",
            "postal_code": "562831801",
            "telephone_number": "320-220-2661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDWOOD CHIROPRACTIC PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-22",
        "last_updated": "2015-06-22",
        "status": "A",
        "authorized_official_last_name": "RETTMANN",
        "authorized_official_first_name": "CHELSEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "320-220-2661",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redwood Falls, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2015; 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.