Individual provider Active NPI

Anthony D Hjelle, D.C.

  • Chiropractor
  • Rhinelander, WI
National Provider Identifier
1124184320
Registry record updated Jun 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3553-012 Issued in WI
Practice address
201 E Anderson St
Rhinelander, WI 54501-3771
Phone
(715) 362-6501
Fax
(715) 362-6502
NPI assigned
Dec 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3553-012 WI Primary

Addresses

Primary practice location

201 E Anderson St
Rhinelander, WI 54501-3771

Mailing address

2968 Towering Pines Dr
Rhinelander, WI 54501-8879
Phone (715) 362-6908

Other identifiers 1

IdentifierTypeStateIssuer
38909600MedicaidWI

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
3553-012WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Rhinelander Chiropractic, S.C. Chiropractor CurrentSince Dec 26, 2002 Accepting new patients

Locations

201 E Anderson St
Rhinelander, WI 54501
Phone (715) 362-5522

Organizations & group practices 1

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": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245110400000",
    "number": "1124184320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2968 TOWERING PINES DR",
            "city": "RHINELANDER",
            "state": "WI",
            "postal_code": "545018879",
            "telephone_number": "715-362-6908",
            "fax_number": "715-362-6502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E ANDERSON ST",
            "city": "RHINELANDER",
            "state": "WI",
            "postal_code": "545013771",
            "telephone_number": "715-362-6501",
            "fax_number": "715-362-6502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HJELLE",
        "first_name": "ANTHONY",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-29",
        "last_updated": "2009-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3553-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38909600",
            "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 Jun 16, 2009; 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.