Tyler Rickelman, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038.012907 Issued in IL

Practice address

105 N 36TH St Ste 101
Quincy, IL 62301-3704

Phone

(217) 214-2692

Fax

(217) 214-2035

NPI assigned

Mar 15, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Created for Motion Wellness Center LLCGroup PAC ID 2466750583, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Created for Motion Wellness Center LLC

  • Chiropractor
  • Quincy, IL
  • NPI 1932573805
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1458000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589932800000",
    "number": "1659732832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 N 36TH ST STE 101",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623013704",
            "telephone_number": "217-214-2692",
            "fax_number": "217-214-2035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 N 36TH ST STE 101",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623013704",
            "telephone_number": "217-214-2692",
            "fax_number": "217-214-2035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICKELMAN",
        "first_name": "TYLER",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-15",
        "last_updated": "2020-05-20",
        "certification_date": "2020-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.012907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard R Gregory DDS LTD
• Alan Richardson, M.D.
• Amber Lynn Richey, HIS
• John Henry Rickelman Jr., DO
• Michelle Rickelman, D.C.
• Kelly J Rife, NP
• Daniel E Riggs, D.D.S., M.D.
• Ryan Stanley Riggs, DDS
• Ellen Rigor, LCSW
• Amber Nicole Riley, LCSW

• Chiropractor in Quincy, IL
• Providers in Quincy, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.