Organization Active NPI

R.T.H.W., P.a.

Doing business as Rivertown Chiropractic & Wellness

  • Chiropractor
  • Stillwater, MN
National Provider Identifier
1699072413
Registry record updated Feb 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4981 Issued in MN
Legal business name
R.T.H.W., P.A.
Doing business as
Rivertown Chiropractic & Wellness
Practice address
5813 Neal Ave N
Stillwater, MN 55082-2177
Phone
(651) 439-2712
Fax
(651) 439-2663
NPI assigned
Feb 14, 2011
Last updated
Feb 14, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2011

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

Authorized official

Name
Dr. Daniel John Larsen, D.C.NPI 1588634604
Title
President
Phone
(651) 439-2712

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4981 MN Primary

Addresses

Primary practice location

5813 Neal Ave N
Stillwater, MN 55082-2177

Mailing address

5813 Neal Ave N
Stillwater, MN 55082-2177
Phone (651) 439-2712

Other names 1

  • Rivertown Chiropractic & Wellness Doing business as

National Provider Directory

National Provider Directory

Locations

5640 Memorial Ave N
Ste B
Stillwater, MN 55082
Phone (651) 430-1880

5813 Neal Ave N
Stillwater, MN 55082
Phone (651) 439-2712

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": "1297641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297641600000",
    "number": "1699072413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5813 NEAL AVE N",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550822177",
            "telephone_number": "651-439-2712",
            "fax_number": "651-439-2663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5813 NEAL AVE N",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550822177",
            "telephone_number": "651-439-2712",
            "fax_number": "651-439-2663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R.T.H.W., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-14",
        "last_updated": "2011-02-14",
        "status": "A",
        "authorized_official_last_name": "LARSEN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "651-439-2712",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rivertown Chiropractic & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stillwater, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2011; 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.