RIVERSIDE FAMILY CHIROPRACTIC CLINIC CHARTERED – Chiropractor, NPI 1295748127

RIVERSIDE FAMILY CHIROPRACTIC CLINIC CHARTERED is a healthcare provider. based in Princeton, Minnesota. specializing in Chiropractor. The organization holds a License No. MN 4816 (MN). The NPI Number for RIVERSIDE FAMILY CHIROPRACTIC CLINIC CHARTERED is 1295748127

Main info

Organization
Name
RIVERSIDE FAMILY CHIROPRACTIC CLINIC CHARTERED
NPI
1295748127
Phone
(763) 389-9242
Address
114 A RUM RIVER DRIVE NORTH
Authorized Official
DR. TYLER PAUL ROEHL OWNER / CHIROPRACTOR DC.
Enumeration Date
14 August 2006
Last Update Date
8 October 2015
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for RIVERSIDE FAMILY CHIROPRACTIC CLINIC CHARTERED

  • Rum River Drive North, Princeton, Mille Lacs County, Minnesota, 55371, United States

    PRINCETON, MN 55371

    Phone: (763) 389-9242

    Fax: (763) 631-0460

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-09-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2024-10-31 (591 days ago).

Enrollment records

1

Earliest due date

2024-10-31

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20060928000590OClinic/Group PracticeMN2024-10-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55371)

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Reviews

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Frequently asked questions

What is the standard ID for RIVERSIDE FAMILY CHIROPRACTIC CLINIC CHARTERED in the U.S.?
In the U.S., RIVERSIDE FAMILY CHIROPRACTIC CLINIC CHARTERED is identified by NPI 1295748127.
Is RIVERSIDE FAMILY CHIROPRACTIC CLINIC CHARTERED's NPI status active today?
Active status means RIVERSIDE FAMILY CHIROPRACTIC CLINIC CHARTERED's NPI record is not deactivated in the public file.
How should patients interpret RIVERSIDE FAMILY CHIROPRACTIC CLINIC CHARTERED's specialty?
The extract shows Chiropractor for RIVERSIDE FAMILY CHIROPRACTIC CLINIC CHARTERED. Clinical services aligned with this taxonomy classification.
What city is tied to RIVERSIDE FAMILY CHIROPRACTIC CLINIC CHARTERED?
The directory associates RIVERSIDE FAMILY CHIROPRACTIC CLINIC CHARTERED with Princeton, Minnesota. Check all listed addresses for suites or satellite offices.
Why is information missing for RIVERSIDE FAMILY CHIROPRACTIC CLINIC CHARTERED?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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