Joshua R Rickert, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5230 Issued in MN

Practice address

16197 Main Ave SE
Prior Lake, MN 55372-1704

Phone

(952) 226-5100

Fax

(952) 516-5240

NPI assigned

May 1, 2009

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

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Prior Lake Spine Health & Injury Center, PLLC

  • Chiropractor
  • Prior Lake, MN
  • NPI 1700163573
  Medicare reassignment Authorized official
• Eagle Trace Wellness Center, PA

  • Chiropractor
  • Burnsville, MN
  • NPI 1790932390
  NPD (past)

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

{
    "created_epoch": "1241136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353888000000",
    "number": "1932333176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16197 MAIN AVE SE",
            "city": "PRIOR LAKE",
            "state": "MN",
            "postal_code": "553721704",
            "telephone_number": "952-226-5100",
            "fax_number": "952-516-5240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16197 MAIN AVE SE",
            "city": "PRIOR LAKE",
            "state": "MN",
            "postal_code": "553721704",
            "telephone_number": "952-226-5100",
            "fax_number": "952-516-5240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICKERT",
        "first_name": "JOSHUA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-05-01",
        "last_updated": "2012-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theresa Rae Reese, APRN, PNP-PC
• Lauren Emily Resh, PHARMD
• Resilient Fusion
• Nicholas David Restifo
• Alyssa Ricke
• Colleen Rivera
• RLS Freedom Dental
• Tara Lyn Roman, D.C.
• Tyler Rueckert
• S.J.R. Eye Care LLC

• Chiropractor in Prior Lake, MN
• Providers in Prior Lake, MN by specialty
• Chiropractor in Minnesota

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