Individual provider Active NPI

Dillon Andrew Riehle, DC

  • Chiropractor
  • Eden Prairie, MN
National Provider Identifier
1730652132
Registry record updated Jan 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6571 Issued in MN
Practice address
7920 Mitchell Rd
Eden Prairie, MN 55344-2218
Phone
(952) 345-6110
NPI assigned
Jan 8, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6571 MN Primary

Addresses

Primary practice location

7920 Mitchell Rd
Eden Prairie, MN 55344-2218

Mailing address

2003 W 82ND St
Bloomington, MN 55431-1304
Phone (715) 212-1064

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190130002936 MN Practitioner - Chiropractic 6800133786 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthsource of Eden Prairie PLLCGroup PAC ID 7315128600, 2 clinicians

Practice addresses (Care Compare)

7920 Mitchell Rd
Eden Prairie, MN 55344-2218
Phone (952) 345-6110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6571MNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthsource of Eden Prairie, PLLC Chiropractor CurrentSince Jan 1, 2019 Accepting new patients

Locations

7920 Mitchell Rd
Eden Prairie, MN 55344
Phone (952) 345-6110

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1546905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546905600000",
    "number": "1730652132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2003 W 82ND ST",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554311304",
            "telephone_number": "715-212-1064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7920 MITCHELL RD",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553442218",
            "telephone_number": "952-345-6110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIEHLE",
        "first_name": "DILLON",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-08",
        "last_updated": "2019-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eden Prairie, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2019; 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.