RIVERSIDE FAMILY CHIROPRACTIC CLINIC CHARTERED
NPI 1295748127
Chiropractor in Princeton, MN
About Riverside Family Chiropractic Clinic Chartered NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RIVERSIDE FAMILY CHIROPRACTIC CLINIC CHARTERED (NPI 1295748127) is a healthcare organization registered as a chiropractor in Princeton, Minnesota and active in the NPI registry since August 2006. The organization lists Tyler Paul Roehl, Owner / Chiropractor, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Riverside Family Chiropractic Clinic Chartered is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Riverside Family Chiropractic Clinic Chartered, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Riverside Family Chiropractic Clinic Chartered's NPI number?
The NPI number for Riverside Family Chiropractic Clinic Chartered is 1295748127. It was assigned to this organization in the NPPES registry on August 14, 2006.
Where is Riverside Family Chiropractic Clinic Chartered located?
Riverside Family Chiropractic Clinic Chartered is located at 114 A Rum River Drive North, Princeton, MN 55371. The listed phone number is (763) 389-9242.
What is Riverside Family Chiropractic Clinic Chartered's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Riverside Family Chiropractic Clinic Chartered enrolled in Medicare?
Yes. Riverside Family Chiropractic Clinic Chartered is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Riverside Family Chiropractic Clinic Chartered?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Riverside Family Chiropractic Clinic Chartered. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Riverside Family Chiropractic Clinic Chartered accept?
Health plans from HealthPartners list Riverside Family Chiropractic Clinic Chartered as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Riverside Family Chiropractic Clinic Chartered was last updated on October 8, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Riverside Family Chiropractic Clinic Chartered · NPI 1295748127
Chiropractor organization in Princeton, Minnesota. Organization record, active in the CMS NPPES registry since August 14, 2006.
## Identity
- **NPI:** 1295748127 (Entity type: Organization)
- **Enumerated:** August 14, 2006
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **Organization subpart:** No
- **Authorized official:** Tyler Roehl, OWNER / CHIROPRACTOR
## Practice location
- **Address:** 114 A RUM RIVER DRIVE NORTH, Princeton, MN 55371
- **Phone:** (763) 389-9242 · **Fax:** (763) 631-0460
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Chiropractic) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 8, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1295748127) · Data from the CMS NPPES public registry.