Individual provider Active NPI

Robert David Sell, DC

  • Chiropractor
  • Hortonville, WI
National Provider Identifier
1033219415
Registry record updated Aug 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2738 Issued in WI
Practice address
216 West Main St
Hortonville, WI 54944
Phone
(920) 779-4554
Fax
(920) 779-0444
NPI assigned
Sep 25, 2006
Last updated
Aug 17, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2738 WI Primary

Addresses

Primary practice location

216 West Main St
Hortonville, WI 54944

Mailing address

PO Box 100
Hortonville, WI 54944
Phone (920) 779-4554

Other identifiers 1

IdentifierTypeStateIssuer
38892000MedicaidWI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101220000892 WI Practitioner - Chiropractic 3779472931 Reassigns benefits to 1 organization
Receives reassigned benefits from 1 practitioner
Practice locations: Manawa, WI

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Chiropractors IncGroup PAC ID 6800785056, 3 clinicians

Practice addresses (Care Compare)

216 W Main St
Hortonville, WI 54944-9413
Phone (920) 779-4554

312 S Bridge St
Manawa, WI 54949-0146
Phone (920) 596-2592

PO Box
Suite 146
Manawa, WI 54949-0146

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family Chiropractors Inc Chiropractor CurrentSince Apr 1, 1995 Accepting new patients
Sell Chiropractic Chiropractor CurrentSince Dec 1, 2001 Accepting new patients

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282003200000",
    "number": "1033219415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100",
            "city": "HORTONVILLE",
            "state": "WI",
            "postal_code": "54944",
            "telephone_number": "920-779-4554",
            "fax_number": "920-779-0444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 WEST MAIN ST",
            "city": "HORTONVILLE",
            "state": "WI",
            "postal_code": "54944",
            "telephone_number": "920-779-4554",
            "fax_number": "920-779-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELL",
        "first_name": "ROBERT",
        "middle_name": "DAVID",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2010-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "2738",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38892000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hortonville, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2010; 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.