Individual provider Active NPI

Daniel W Throm, DC

  • Chiropractor
  • Stevens Point, WI
National Provider Identifier
1023115771
Registry record updated Jul 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4176-012 Issued in WI
Practice address
3125 Main St
Stevens Point, WI 54481-3269
Phone
(715) 341-8222
Fax
(715) 341-3663
NPI assigned
Sep 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4176-012 WI Primary

Addresses

Primary practice location

3125 Main St
Stevens Point, WI 54481-3269

Mailing address

605 S 24TH Ave
Ste 46
Wausau, WI 54401-1705
Phone (715) 341-8222

Other identifiers 3

IdentifierTypeStateIssuer
1023311771MedicaidWI
104381OtherSECURITY HEALTH PLAN
CJ7408OtherRAILROAD MEDICARE GROUP

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060208000300 WI Practitioner - Chiropractic 4688689920 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3600 Stewart Ave
Suite B
Wausau, WI 54401-3944
Phone (715) 301-1123

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4176-012WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Allied Health of Wisconsin, SC Chiropractor PastSince Nov 30, 2007 Accepting new patients
Scott D. Bautch D C S C Chiropractor PastSince Dec 31, 2015 Accepting new patients

Organizations & group practices 3

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": "1158451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467936000000",
    "number": "1023115771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 S 24TH AVE",
            "address_2": "STE 46",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544011705",
            "telephone_number": "715-341-8222",
            "fax_number": "715-341-3663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3125 MAIN ST",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544813269",
            "telephone_number": "715-341-8222",
            "fax_number": "715-341-3663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THROM",
        "first_name": "DANIEL",
        "middle_name": "W",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-17",
        "last_updated": "2016-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4176-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1023311771",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SECURITY HEALTH PLAN",
            "identifier": "104381",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP",
            "identifier": "CJ7408",
            "state": null
        }
    ],
    "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 Jul 8, 2016; 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.