Peter W Vrieze, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1537 Issued in WI

Practice address

706 W 4TH St
New Richmond, WI 54017-1440

Phone

(715) 246-7000

Fax

(715) 246-7002

NPI assigned

Jul 21, 2005

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 2

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316131200000",
    "number": "1124028071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 303",
            "city": "NEW RICHMOND",
            "state": "WI",
            "postal_code": "540170303",
            "telephone_number": "715-246-7000",
            "fax_number": "715-246-7002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 W 4TH ST",
            "city": "NEW RICHMOND",
            "state": "WI",
            "postal_code": "540171440",
            "telephone_number": "715-246-7000",
            "fax_number": "715-246-7002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VRIEZE",
        "first_name": "PETER",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-21",
        "last_updated": "2011-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "1537",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38760600",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "91924VR",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Kay Utgard
• Michael D Vad, CRNA
• Brett S Vandenbergh, DPT
• Ryan Vang
• Heather Renee Vogel, PT,DPT
• Julie Vuchetich, MS- CCC SLP
• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP
• Sherry L Walker, D.C.
• Amy Elizabeth Walsh, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2011; 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.