Riley Sean Cullinane, DC
Individual provider Active NPI Chiropractor · Long Lake, MN
NPI 1659763548 · NPPES record last updated Mar 2, 2015
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(2) exclusion effective Oct 20, 2024.
Key facts
- NPI
- 1659763548
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 6061 (MN)
- Practice address
- 1865 W Wayzata Blvd
Long Lake, MN 55356-9671 - Phone
- (952) 473-3588
- NPI assigned
- Mar 2, 2015
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6061 | MN | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 6061 | MN | Yes |
Addresses
Primary practice location
1865 W Wayzata Blvd
Long Lake, MN 55356-9671
Mailing address
1105 Hiawatha Ave Apt 102
Hopkins, MN 55343-8164
Phone (218) 851-3422
Other providers in Long Lake, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 2, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- OIG LEIE (HHS Office of Inspector General).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.