Hickory Health Clinic PLLC
NPI 1043841414ActiveOrganization· Chiropractor· Forest Lake, MN
Chiropractor in Forest Lake, Minnesota, registered in NPPES in February 2020. The authorized official on file is Richard Vincent Ottomeyer, DC, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1043841414 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 3, 2020 |
| Last updated in NPPES | Feb 17, 2020 |
| Certified by provider | Feb 17, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MN) |
|---|
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