RICHARD PETER CERVENKA DPM
NPI 1306832464
Podiatrist - Foot Surgery in Coon Rapids, MN

Active since September 23, 2005
3790 117TH LN NW, COON RAPIDS, MN 55433(763) 421-7300(763) 421-3337 Get Directions Write a Review

NPPES record last updated: May 10, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Richard Peter Cervenka Dpm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RICHARD PETER CERVENKA DPM (NPI 1306832464) is an individual foot surgery provider in Coon Rapids, Minnesota, licensed in Minnesota (304) and active in the NPI registry since September 2005.

NPPES Registry Identity

NPI1306832464
Entity TypeIndividualMale
Primary Taxonomy213ES0131X
Provider Legal NameRICHARD PETER CERVENKACredential: DPM
Location Address3790 117TH LN NWCoon Rapids, MN 55433-2666
Mailing Address3790 117th Ln NwCoon Rapids, MN 55433-2666 · (763) 421-7300 · Fax (763) 421-3337
Fax(763) 421-3337
Sole ProprietorNo
Enumeration DateSeptember 23, 2005
Last NPPES UpdateMay 10, 2017
NPI 1306832464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatrist · Foot SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0131X
License Licensed in MN · 304
3790 117TH LN NW, Coon Rapids, MN 55433

Other Identifiers 6

Other34039CEMN · Bc
Medicare UPINT39450MN
Medicare NSC0196780001
Medicaid042325400MN
Medicare UPIN2700252MN
Medicare ID-Type Unspecified480000413MN

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Podiatrist (Foot & Ankle Surgery)
3790 117TH LN NW
COON RAPIDS, MN 55433
Podiatrist (Foot & Ankle Surgery)
3790 117TH LN NW
COON RAPIDS, MN 55433
Podiatrist (Foot & Ankle Surgery)
3790 117TH LN NW
COON RAPIDS, MN 55433
Podiatrist
3790 117TH LN NW
COON RAPIDS, MN 55433
Podiatrist
3790 117TH LN NW
COON RAPIDS, MN 55433

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 Richard Cervenka's NPI number?

The NPI number for Richard Cervenka is 1306832464. It was assigned to this individual provider in the NPPES registry on September 23, 2005.

Where is Richard Cervenka located?

Richard Cervenka practices at 3790 117th Ln NW, Coon Rapids, MN 55433. The listed phone number is (763) 421-7300.

What is Richard Cervenka's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot Surgery, with taxonomy code 213ES0131X.

When was this NPI record last updated?

The NPPES record for Richard Cervenka was last updated on May 10, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.