Active NPI
Ronald L Stellmacher, D.C.
- Chiropractor
- Appleton, WI
National Provider Identifier
1104092097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2201
- Practice address
- 1121 N Badger Ave
Appleton, WI 54914-3249 - Phone
- (920) 738-7474
- Fax
- (920) 738-7485
- NPI assigned
- May 1, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2201 | WI | Primary |
| Chiropractor | 111N00000X | X009815-1 | NY |
Addresses
Primary practice location
1121 N Badger Ave
Appleton, WI 54914-3249
Mailing address
1121 N Badger Ave
Appleton, WI 54914-3249
Phone (920) 738-7474
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X009815-1 | NY | MD | Chiropractor |
| 2201 | WI | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209600000000",
"number": "1104092097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1121 N BADGER AVE",
"city": "APPLETON",
"state": "WI",
"postal_code": "549143249",
"telephone_number": "920-738-7474",
"fax_number": "920-738-7485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1121 N BADGER AVE",
"city": "APPLETON",
"state": "WI",
"postal_code": "549143249",
"telephone_number": "920-738-7474",
"fax_number": "920-738-7485"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STELLMACHER",
"first_name": "RONALD",
"middle_name": "L",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-05-01",
"last_updated": "2008-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "2201",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X009815-1",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Appleton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.