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DR. RODERICK DALE ECKLUND DC
NPI 1831253053
Chiropractor in Minneapolis, MN

Active since December 21, 2006
5810 NICOLLET AVENUE, MINNEAPOLIS, MN 55419(612) 861-2121(612) 861-2113 Get Directions Write a Review

NPPES record last updated: November 14, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Roderick Dale Ecklund Dc NPPES

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

DR. RODERICK DALE ECKLUND DC (NPI 1831253053) is an individual chiropractor in Minneapolis, Minnesota, licensed in Minnesota (002651) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1831253053
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. RODERICK DALE ECKLUNDCredential: DC
Location Address5810 NICOLLET AVENUEMinneapolis, MN 55419
Mailing Address5810 Nicollet AvenueMinneapolis, MN 55419 · (612) 861-2121 · Fax (612) 861-2113
Phone(612) 861-2121
Fax(612) 861-2113
Sole ProprietorNo
Enumeration DateDecember 21, 2006
Last NPPES UpdateNovember 14, 2011
✔ NPI 1831253053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MN · 002651
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
5810 NICOLLET AVENUE, Minneapolis, MN 55419
Open in Google Maps ↗

Other Identifiers 3

Medicare ID-Type Unspecified350002052
Medicaid863328200MN
Medicare UPINT90364

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Roderick Dale Ecklund Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Roderick Ecklund reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

City Lakes Chiropractic PA
4.9 mi
Chiropractor
2903 E 42ND STREET
Minneapolis, MN 55406
  • Reassigned Medicare billing, Minnesota enrollment
  • 3 clinicians in this Medicare group
NPI 1992929541 (612) 722-2147

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 2

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

DR. LESLIE ANN ECKLUND DC
Chiropractor
5810 NICOLLET AVENUE
MINNEAPOLIS, MN 55419
Hennepin County (612) 861-2121
INTERNATIONAL CHIROPRACTIC CLINIC, P.A.
Chiropractor
5810 NICOLLET AVENUE
MINNEAPOLIS, MN 55419
Hennepin County (612) 861-2121

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 Roderick Ecklund's NPI number?

The NPI number for Roderick Ecklund is 1831253053. It was assigned to this individual provider in the NPPES registry on December 21, 2006.

Where is Roderick Ecklund located?

Roderick Ecklund practices at 5810 Nicollet Avenue, Minneapolis, MN 55419. The listed phone number is (612) 861-2121.

What is Roderick Ecklund's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Roderick Ecklund enrolled in Medicare?

Yes. Roderick Ecklund is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Roderick Ecklund's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Roderick Ecklund reassigns Medicare benefits to City Lakes Chiropractic PA (Minneapolis, MN). The 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 Roderick Ecklund's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Roderick Ecklund was last updated on November 14, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.