Samuel Robert Klinner, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4855-12 Issued in WI

Practice address

115 E Perkins St
Medford, WI 54451-1852

Phone

(715) 748-4433

Fax

(715) 748-6304

NPI assigned

Jan 31, 2012

Last updated

Jan 31, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Borealis Wellness Clinic LLCGroup PAC ID 8123282886, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Networks

• IL PPO Downstate
• IL HMO C-SNP
• devoted network organization-1baeae7e-6b6f-49f9-a562-1b2d2e55c806

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Borealis Wellness Clinic LLC

  • Clinic/Center
  • Medford, WI
  • NPI 1912279316
  Medicare reassignment Care Compare group NPD Authorized official
• Aurora Community Clinic SC

  • Medical Specialty Clinic/Center
  • Medford, WI
  • NPI 1407501059
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1327968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327968000000",
    "number": "1003188509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 E PERKINS ST",
            "city": "MEDFORD",
            "state": "WI",
            "postal_code": "544511852",
            "telephone_number": "715-748-4433",
            "fax_number": "715-748-6304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E PERKINS ST",
            "city": "MEDFORD",
            "state": "WI",
            "postal_code": "544511852",
            "telephone_number": "715-748-4433",
            "fax_number": "715-748-6304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLINNER",
        "first_name": "SAMUEL",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-01-31",
        "last_updated": "2012-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4855-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kim a Gowey DDS LTD (Implant Dentistry of Wisconsin)
• Lauren Allyson King, MS, SLP-CF
• Kaitlyn Lorraine Kirtz, APSW
• Jenna Lyn Kitzhaber, OTR/L
• Ashley Kleutsch, APRN
• Kristen Koshalek
• Rachel E Kowalczyk, RDH
• Ronald L Kowle, MD
• Gary T Krueger, DDS
• Patricia Michele Krug, RN, BSN

• Chiropractor in Medford, WI
• Providers in Medford, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.