NPIMap

Organization Active NPI

Yeomans Edinger Chiropractic Center SC

  • Chiropractor
  • Ripon, WI
National Provider Identifier
1043435613
Registry record updated Apr 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1513 Issued in WI
Legal business name
YEOMANS EDINGER CHIROPRACTIC CENTER SC
Practice address
404 Eureka St
Ripon, WI 54971-1192
Phone
(920) 748-3644
NPI assigned
Apr 17, 2007
Last updated
Apr 7, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2009

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

Authorized official

Name
Dr. Steven Yeomans, DCNPI 1467423434
Title
Chiropractor
Phone
(920) 748-3644

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
Chiropractor 111N00000X 1513 WI Primary

Addresses

Primary practice location

404 Eureka St
Ripon, WI 54971-1192

Mailing address

404 Eureka St
P O Box 263
Ripon, WI 54971-1192
Phone (920) 748-3644

Other identifiers 5

IdentifierTypeStateIssuer
38762100MedicaidWI
389493699OtherWISTEVE YEOMANS NETWORK
350023259OtherWISTEVE YEOMANS RR
38901800MedicaidWI
392727720OtherWIMARK EDINGER NETWORK

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090408000125 WI Part B Supplier - Clinic/Group Practice 6901953066 Receives reassigned benefits from 2 practitioners
Practice locations: Ripon, WI

National Provider Directory

National Provider Directory

Locations

404 Eureka St
Ripon, WI 54971
Phone (414) 748-3644

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239062400000",
    "number": "1043435613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 EUREKA ST",
            "address_2": "P O BOX 263",
            "city": "RIPON",
            "state": "WI",
            "postal_code": "549711192",
            "telephone_number": "920-748-3644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 EUREKA ST",
            "city": "RIPON",
            "state": "WI",
            "postal_code": "549711192",
            "telephone_number": "920-748-3644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YEOMANS EDINGER CHIROPRACTIC CENTER SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2009-04-07",
        "status": "A",
        "authorized_official_last_name": "YEOMANS",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "920-748-3644",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "1513",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38762100",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STEVE YEOMANS NETWORK",
            "identifier": "389493699",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STEVE YEOMANS RR",
            "identifier": "350023259",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38901800",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARK EDINGER NETWORK",
            "identifier": "392727720",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ripon, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2009; 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.