Organization Active NPI

Oas Family Chiropractic, LLC

  • Chiropractor
  • Eau Claire, WI
National Provider Identifier
1023177169
Registry record updated Jun 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3823-012 Issued in WI
Legal business name
OAS FAMILY CHIROPRACTIC, LLC
Practice address
1740 Westgate Rd
Eau Claire, WI 54703-4963
Phone
(715) 552-7889
Fax
(715) 552-7939
NPI assigned
Dec 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2011

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

Authorized official

Name
Dr. Mark G Oas, D.C.NPI 1487648093
Title
Chiropractor
Phone
(715) 552-7889

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3823-012 WI Primary

Addresses

Primary practice location

1740 Westgate Rd
Eau Claire, WI 54703-4963

Mailing address

1740 Westgate Rd
Eau Claire, WI 54703-4963
Phone (715) 552-7889

Other identifiers 1

IdentifierTypeStateIssuer
39002100MedicaidWI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050620000426 WI Part B Supplier - Clinic/Group Practice 5991749053 Receives reassigned benefits from 1 practitioner
Practice locations: Eau Claire, WI

National Provider Directory

National Provider Directory

Locations

1740 Westgate Rd
Eau Claire, WI 54703
Phone (715) 552-7889

2125 Cameron St
Eau Claire, WI 54703
Phone (715) 552-7889

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308700800000",
    "number": "1023177169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1740 WESTGATE RD",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547034963",
            "telephone_number": "715-552-7889",
            "fax_number": "715-552-7939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 WESTGATE RD",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547034963",
            "telephone_number": "715-552-7889",
            "fax_number": "715-552-7939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAS FAMILY CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2011-06-22",
        "status": "A",
        "authorized_official_last_name": "OAS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "715-552-7889",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3823-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39002100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eau Claire, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.