Individual provider Active NPI

James T Ford III, D.C.

  • Chiropractor
  • Stevens Point, WI
National Provider Identifier
1003935016
Registry record updated May 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1935 Issued in WI
Practice address
3108 Church St
Stevens Point, WI 54481-5305
Phone
(715) 341-0910
Fax
(715) 341-0093
NPI assigned
Mar 29, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1935 WI Primary

Addresses

Primary practice location

3108 Church St
Stevens Point, WI 54481-5305

Mailing address

3108 Church St
Stevens Point, WI 54481-5305
Phone (715) 341-0910

Other identifiers 3

IdentifierTypeStateIssuer
350032388OtherWIRR MEDICARE INDIV #
38784700MedicaidWI
DG2212OtherWIRAILROAD MEDICARE-GRP #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120110000511 WI Practitioner - Chiropractic 7517133762 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ford Chiropractic Clinic, S.C.Group PAC ID 8527234772, 3 clinicians

Practice addresses (Care Compare)

3108 Church St
Stevens Point, WI 54481-5305
Phone (715) 341-0910

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1935WIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ford Chiropractic Clinic, S.C. Chiropractor CurrentSince Jan 1, 1966 Accepting new patients

Locations

3108 Church St
Stevens Point, WI 54481
Phone (715) 341-0910

Networks

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

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209945600000",
    "number": "1003935016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3108 CHURCH ST",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544815305",
            "telephone_number": "715-341-0910",
            "fax_number": "715-341-0093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3108 CHURCH ST",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544815305",
            "telephone_number": "715-341-0910",
            "fax_number": "715-341-0093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD",
        "first_name": "JAMES",
        "middle_name": "T",
        "name_suffix": "III",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2008-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "1935",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE INDIV #",
            "identifier": "350032388",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38784700",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE-GRP #",
            "identifier": "DG2212",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stevens Point, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2008; 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.