Individual provider Active NPI

Stephen Misky, DC

  • Chiropractor
  • Platteville, WI
National Provider Identifier
1033220223
Registry record updated Aug 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2690-012 Issued in WI
Practice address
470 South Water Street
Platteville, WI 53818
Phone
(608) 348-3156
NPI assigned
Aug 31, 2006
Last updated
Aug 12, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2690-012 WI Primary

Addresses

Primary practice location

470 South Water Street
Platteville, WI 53818

Mailing address

470 South Water Street
Platteville, WI 53818

Other identifiers 1

IdentifierTypeStateIssuer
38852000MedicaidWI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031120000781 WI Practitioner - Chiropractic 8123922200 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1991
Medicare assignment
May accept Medicare assignment
Group practices
Cuba City Chiropractic Office LLCGroup PAC ID 0648174714, 2 clinicians

Practice addresses (Care Compare)

218 E Webster St
Cuba City, WI 53807-1551
Phone (608) 744-2725

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2690-012WIMDChiropractor
2690WIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cuba City Chiropractic Office LLC Chiropractor CurrentSince Oct 1, 2001 Accepting new patients

Locations

218 E Webster St
Cuba City, WI 53807
Phone (608) 744-2725

Organizations & group practices 1

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376265600000",
    "number": "1033220223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 SOUTH WATER STREET",
            "city": "PLATTEVILLE",
            "state": "WI",
            "postal_code": "53818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 SOUTH WATER STREET",
            "city": "PLATTEVILLE",
            "state": "WI",
            "postal_code": "53818",
            "telephone_number": "608-348-3156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISKY",
        "first_name": "STEPHEN",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2013-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "2690-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38852000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Platteville, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2013; 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.