Active NPI
Daniel W Throm, DC
- Chiropractor
- Stevens Point, WI
National Provider Identifier
1023115771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4176-012
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023311771 | Medicaid | WI | |
| 104381 | Other | SECURITY HEALTH PLAN | |
| CJ7408 | Other | RAILROAD MEDICARE GROUP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4176-012 | WI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allied Health of Wisconsin, SC | Chiropractor | Past | Accepting new patients |
| Scott D. Bautch D C S C | Chiropractor | Past | 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.
-
dba Allied Health Chiropractic Centers
- Chiropractor
- Wausau, WI
- NPI 1487605051
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.