Organization Active NPI

Riverstone Chiropractic and Wellness PC

  • Chiropractor
  • Minneapolis, MN
National Provider Identifier
1891231171
Registry record updated May 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6305 Issued in MN
Legal business name
RIVERSTONE CHIROPRACTIC AND WELLNESS PC
Practice address
3764 Minnehaha Ave
Suiteb
Minneapolis, MN 55406
Phone
(612) 721-1518
NPI assigned
Jan 11, 2017
Last updated
May 26, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2021

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

Authorized official

Name
Dr. Kyle Thomas Schneider, D.CNPI 1578008504
Title
Chiropractor
Phone
(952) 454-6046

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 6305 MN Primary

Addresses

Primary practice location

3764 Minnehaha Ave
Suiteb
Minneapolis, MN 55406

Mailing address

3764 Minnehaha Ave
Suite B
Minneapolis, MN 55406-2668
Phone (612) 545-5815

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210608000725 MN Part B Supplier - Clinic/Group Practice 4284034661 Receives reassigned benefits from 1 practitioner
Practice locations: Minneapolis, MN

National Provider Directory

National Provider Directory

Locations

3764 Minnehaha Ave
Minneapolis, MN 55406
Phone (612) 545-5815

3764 Minnehaha Ave
Ste B
Minneapolis, MN 55406

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": "1484092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621987200000",
    "number": "1891231171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3764 MINNEHAHA AVE",
            "address_2": "SUITE B",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554062668",
            "telephone_number": "612-545-5815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3764 MINNEHAHA AVE",
            "address_2": "SUITEB",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55406",
            "telephone_number": "612-721-1518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSTONE CHIROPRACTIC AND WELLNESS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-11",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-19",
        "status": "A",
        "authorized_official_last_name": "SCHNEIDER",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "952-454-6046",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2021; 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.