Individual provider Active NPI

Robert James Eilrich, DC

  • Chiropractor
  • Faribault, MN
National Provider Identifier
1902832223
Registry record updated Jul 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4831 Issued in MN
Practice address
1620 Hwy 60 W,
Suite #1
Faribault, MN 55021
Phone
(507) 384-3800
Fax
(507) 384-3803
NPI assigned
Jun 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4831 MN Primary

Addresses

Primary practice location

1620 Hwy 60 W,
Suite #1
Faribault, MN 55021

Mailing address

1620 Hwy 60 W,
Suite #1
Faribault, MN 55021
Phone (507) 384-3800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070214000099 MN Practitioner - Chiropractic 8325040793 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1223 Hwy 60 W
Faribault, MN 55021-4964
Phone (507) 384-3800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eilrich Family Chiropractic & Wellness Chiropractor CurrentSince Feb 14, 2007 Accepting new patients
Gregory J. Mongeon, DC,PC Chiropractor Past Accepting new patients

Locations

1620 Highway 60 W
Ste 1
Faribault, MN 55021
Phone (507) 384-3800

1223 Highway 60 W
Faribault, MN 55021
Phone (507) 384-3800

255 Main St E
Waterville, MN 56096
Phone (507) 362-8883

Organizations & group practices 2

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": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342656000000",
    "number": "1902832223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 HWY 60 W,",
            "address_2": "SUITE #1",
            "city": "FARIBAULT",
            "state": "MN",
            "postal_code": "55021",
            "telephone_number": "507-384-3800",
            "fax_number": "507-384-3803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 HWY 60 W,",
            "address_2": "SUITE #1",
            "city": "FARIBAULT",
            "state": "MN",
            "postal_code": "55021",
            "telephone_number": "507-384-3800",
            "fax_number": "507-384-3803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EILRICH",
        "first_name": "ROBERT",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2012-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Faribault, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2012; 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.