Individual provider Active NPI

Terrence C Droessler, DC

  • Chiropractor
  • Columbus, WI
National Provider Identifier
1073587465
Registry record updated Aug 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1494 Issued in WI
Practice address
1349 Park Ave
Columbus, WI 53925-1614
Phone
(920) 623-4743
NPI assigned
Feb 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1494 WI Primary

Addresses

Primary practice location

1349 Park Ave
Columbus, WI 53925-1614

Mailing address

1349 Park Ave
P O Box 126
Columbus, WI 53925-1614
Phone (920) 623-4743

Other identifiers 1

IdentifierTypeStateIssuer
391559774OtherWITAX ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1494WIMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343865600000",
    "number": "1073587465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1349 PARK AVE",
            "address_2": "P O BOX 126",
            "city": "COLUMBUS",
            "state": "WI",
            "postal_code": "539251614",
            "telephone_number": "920-623-4743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1349 PARK AVE",
            "city": "COLUMBUS",
            "state": "WI",
            "postal_code": "539251614",
            "telephone_number": "920-623-4743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DROESSLER",
        "first_name": "TERRENCE",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2012-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "1494",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "391559774",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.