Jon C Raether, D.C

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3279 Issued in WI

Practice address

2625 Altona Ave
New Holstein, WI 53061-9542

Phone

(920) 898-4225

Fax

(920) 898-4597

NPI assigned

Nov 28, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Raether Chiropractic Office,S.C.

  • Medical Specialty Clinic/Center
  • New Holstein, WI
  • NPI 1629144944
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1063588341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 ALTONA AVE",
            "city": "NEW HOLSTEIN",
            "state": "WI",
            "postal_code": "530619542",
            "telephone_number": "920-898-4225",
            "fax_number": "920-898-4597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 ALTONA AVE",
            "city": "NEW HOLSTEIN",
            "state": "WI",
            "postal_code": "530619542",
            "telephone_number": "920-898-4225",
            "fax_number": "920-898-4597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAETHER",
        "first_name": "JON",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3279",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL ASSISTANCE",
            "identifier": "38943700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• NSH New Holstein LLC
• NSH New Holstein-Monroe LLC
• Pamela Ogea, RN
• Denis J Pleviak, MD
• Raether Chiropractic Office,S.C.
• Sarah Ramaker, PTA
• Cheryl Marie Roers Ott, O.D.
• Mark P Runge, SLP
• Morgan Schabo
• School District of New Holstein

• Chiropractor in New Holstein, WI
• Providers in New Holstein, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; 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.