Individual provider Active NPI

Allen Craig Orth, D.C., CCEP, CSCS

  • Chiropractor
  • Rhinelander, WI
National Provider Identifier
1073548517
Registry record updated Mar 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3824-012 Issued in WI
Practice address
1818 N Stevens St
Rhinelander, WI 54501-2129
Phone
(715) 369-4000
Fax
(715) 369-5798
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 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 3824-012 WI Primary

Addresses

Primary practice location

1818 N Stevens St
Rhinelander, WI 54501-2129

Mailing address

4747 Crystal Lake Rd
Rhinelander, WI 54501-9722
Phone (715) 369-5202

Other identifiers 1

IdentifierTypeStateIssuer
38937300MedicaidWI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060912000158 WI Practitioner - Chiropractic 3870597545 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sokaogon Chippewa CommunityGroup PAC ID 1759370869, 13 clinicians

Practice addresses (Care Compare)

1818 N Stevens St
Rhinelander, WI 54501-2129
Phone (715) 369-4000

3144 Vanzile Rd
Crandon, WI 54520-8149
Phone (715) 478-5180

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3824-012WIMDChiropractor
3824WIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sokaogon Chippewa Community CurrentSince Oct 14, 2019 Accepting new patients
Healthquest Chiropractic and Rehabilitation Chiropractor CurrentSince Sep 1, 2006 Accepting new patients

Locations

3144 Vanzile Rd
Crandon, WI 54520
Phone (715) 478-5180

307 N Lake Ave
#B
Crandon, WI 54520
Phone (715) 478-1300

1818 N Stevens St
Rhinelander, WI 54501
Phone (715) 369-4000

Interoperability endpoints

  • Direct secure messaging: a.craig.orth@schc.directbygreenway.com
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.73753

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363651200000",
    "number": "1073548517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4747 CRYSTAL LAKE RD",
            "city": "RHINELANDER",
            "state": "WI",
            "postal_code": "545019722",
            "telephone_number": "715-369-5202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 N STEVENS ST",
            "city": "RHINELANDER",
            "state": "WI",
            "postal_code": "545012129",
            "telephone_number": "715-369-4000",
            "fax_number": "715-369-5798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTH",
        "first_name": "ALLEN",
        "middle_name": "CRAIG",
        "name_prefix": "Dr.",
        "credential": "D.C., CCEP, CSCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2013-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3824-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38937300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Mar 19, 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.