Individual provider Active NPI

Michael David Sommerfeld, DC

  • Chiropractor
  • Rice Lake, WI
National Provider Identifier
1023658622
Registry record updated Jan 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5391-12 Issued in WI
Practice address
6 W Saint Patrick St
Rice Lake, WI 54868-2867
Phone
(715) 234-4222
Fax
(715) 736-0751
NPI assigned
Jan 10, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5391-12 WI Primary

Addresses

Primary practice location

6 W Saint Patrick St
Rice Lake, WI 54868-2867

Mailing address

6 W Saint Patrick St
Rice Lake, WI 54868-2867
Phone (715) 234-4222

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200211001147 WI Practitioner - Chiropractic 4284060245 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

6 W Saint Patrick St
Rice Lake, WI 54868-2867
Phone (715) 234-4222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5391-12WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
K-Blessed-M Inc. Chiropractor CurrentSince Nov 18, 2019 Accepting new patients
David a. Sommerfeld Chiropractic, Inc. Chiropractor PastSince Nov 18, 2019 Accepting new patients

Locations

6 W Saint Patrick St
Rice Lake, WI 54868
Phone (715) 234-4222

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1578614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578614400000",
    "number": "1023658622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 W SAINT PATRICK ST",
            "city": "RICE LAKE",
            "state": "WI",
            "postal_code": "548682867",
            "telephone_number": "715-234-4222",
            "fax_number": "715-736-0751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 W SAINT PATRICK ST",
            "city": "RICE LAKE",
            "state": "WI",
            "postal_code": "548682867",
            "telephone_number": "715-234-4222",
            "fax_number": "715-736-0751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOMMERFELD",
        "first_name": "MICHAEL",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-01-10",
        "last_updated": "2020-01-10",
        "certification_date": "2020-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "5391-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rice Lake, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2020; 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.