Organization Active NPI

Rhinelander Chiropractic, S.C.

  • Chiropractor
  • Rhinelander, WI
National Provider Identifier
1033270368
Registry record updated Jan 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1279-012 Issued in WI
Legal business name
RHINELANDER CHIROPRACTIC, S.C.
Practice address
201 E. Anderson St.
Suite a
Rhinelander, WI 54501
Phone
(715) 362-5522
Fax
(715) 362-5591
NPI assigned
Dec 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2017

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

Authorized official

Name
Dr. Gregory Stanford Michals Jr., DC
Title
Owner
Phone
(715) 362-5522

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1279-012 WI Primary

Addresses

Primary practice location

201 E. Anderson St.
Suite a
Rhinelander, WI 54501

Mailing address

201 E. Anderson St.
Suite a
Rhinelander, WI 54501
Phone (715) 362-5522

Other identifiers 3

IdentifierTypeStateIssuer
38816500MedicaidWI
1279-012OtherWISTATE LICENSE #
38981300MedicaidWI

Other names 1

  • McKitrick Chiropractic Offic SC Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080425000379 WI Part B Supplier - Clinic/Group Practice 3274611678 Receives reassigned benefits from 1 practitioner
Practice locations: Rhinelander, WI

National Provider Directory

National Provider Directory

Locations

201 E Anderson St
#A
Rhinelander, WI 54501

201 E Anderson St
Rhinelander, WI 54501
Phone (715) 362-5522

201 E Anderson St
Ste A
Rhinelander, WI 54501
Phone (715) 362-5522

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": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485129600000",
    "number": "1033270368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E. ANDERSON ST.",
            "address_2": "SUITE A",
            "city": "RHINELANDER",
            "state": "WI",
            "postal_code": "54501",
            "telephone_number": "715-362-5522",
            "fax_number": "715-362-5591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E. ANDERSON ST.",
            "address_2": "SUITE A",
            "city": "RHINELANDER",
            "state": "WI",
            "postal_code": "54501",
            "telephone_number": "715-362-5522",
            "fax_number": "715-362-5591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RHINELANDER CHIROPRACTIC, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2017-01-23",
        "status": "A",
        "authorized_official_last_name": "MICHALS",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "STANFORD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-362-5522",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "1279-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38816500",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE #",
            "identifier": "1279-012",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38981300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McKitrick Chiropractic Offic SC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Rhinelander, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2017; 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.