Roger E Perreault, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1666 Issued in MN

Practice address

263 W 4TH St
Rush City, MN 55069

Phone

(320) 358-3441

Fax

(320) 358-3624

NPI assigned

Jun 19, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nicole Rosanna Perreault, D.C.

  • Chiropractor
  • Rush City, MN
  • NPI 1174786800
  Medicare reassignment

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.

• Perreault Chiropractic

  • Chiropractor
  • Rush City, MN
  • NPI 1235223694
  NPD (past) Authorized official
• Perreault Chiropractic and Acupuncture Service Corporation

  • Chiropractor
  • North Branch, MN
  • NPI 1922541044
  NPD (past)

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493337600000",
    "number": "1912942178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 W 4TH ST",
            "address_2": "PO BOX 86",
            "city": "RUSH CITY",
            "state": "MN",
            "postal_code": "55069",
            "telephone_number": "320-358-3441",
            "fax_number": "320-358-3624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 W 4TH ST",
            "city": "RUSH CITY",
            "state": "MN",
            "postal_code": "55069",
            "telephone_number": "320-358-3441",
            "fax_number": "320-358-3624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERREAULT",
        "first_name": "ROGER",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-19",
        "last_updated": "2017-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "1666",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "1D067PE",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN CHIRO CARE",
            "identifier": "230668",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "511827100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• April Marie Klar, LPN
• Donna M Neumann, RN
• Tuyen Van Nguyen, D.D.S.
• Perreault Chiropractic
• Nicole Rosanna Perreault, D.C.
• Lisa Marie Reichow, RN
• Rock Elm Country Homes
• Rush City School District
• Stacey Schultz, RN
• Selah Wellness Clinic LLC

• Chiropractor in Rush City, MN
• Providers in Rush City, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2017; 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.