NPIMap

Organization Active NPI

Integrated Pain Solutions LLC

Doing business as Integrated Pain Solutions

  • Chiropractor
  • Antigo, WI
National Provider Identifier
1154418390
Registry record updated Mar 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2183 Issued in WI
Legal business name
INTEGRATED PAIN SOLUTIONS LLC
Doing business as
Integrated Pain Solutions
Practice address
N2120 County Rd S
Antigo, WI 54409-8950
Phone
(715) 623-6500
Fax
(715) 623-6556
NPI assigned
Oct 9, 2006
Last updated
Mar 31, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2015

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

Authorized official

Name
Dr. Curt J Draeger, D.C.NPI 1134174279
Title
Owner/Manager
Phone
(715) 623-6500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2183 WI Primary

Addresses

Primary practice location

N2120 County Rd S
Antigo, WI 54409-8950

Mailing address

N2120 County Rd S
Antigo, WI 54409-8950
Phone (715) 623-6500

Other names 1

  • Integrated Pain Solutions Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051024000940 WI Part B Supplier - Clinic/Group Practice 8820015316 Receives reassigned benefits from 2 practitioners
3 other NPIs on this enrollment
Practice locations: Antigo, WI; Mosinee, WI

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Gold Medal Motion LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427760000000",
    "number": "1154418390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N2120 COUNTY RD S",
            "city": "ANTIGO",
            "state": "WI",
            "postal_code": "544098950",
            "telephone_number": "715-623-6500",
            "fax_number": "715-623-6556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N2120 COUNTY RD S",
            "city": "ANTIGO",
            "state": "WI",
            "postal_code": "544098950",
            "telephone_number": "715-623-6500",
            "fax_number": "715-623-6556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED PAIN SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-09",
        "last_updated": "2015-03-31",
        "status": "A",
        "authorized_official_last_name": "DRAEGER",
        "authorized_official_first_name": "CURT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "715-623-6500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "2183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integrated Pain Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Antigo, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.