Individual provider Active NPI

Donald Joseph Pfau, D.C.

  • Neurology Chiropractor
  • Sauk City, WI
National Provider Identifier
1174578942
Registry record updated Mar 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology ChiropractorTaxonomy code 111NN0400X
License
4222-012 Issued in WI
Practice address
620 Jackson St
Sauk City, WI 53583-1463
Phone
(608) 370-7328
Fax
(608) 237-3119
NPI assigned
May 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Chiropractor 111NN0400X 4222-012 WI Primary

Addresses

Primary practice location

620 Jackson St
Sauk City, WI 53583-1463

Mailing address

620 Jackson St
Sauk City, WI 53583-1463
Phone (608) 370-7328

Other identifiers 1

IdentifierTypeStateIssuer
38968000MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070427000129 WI Practitioner - ChiropracticPractitioner - Neurology 4486750064 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
ChiropracticAlso: Neurology
Education
Palmer College Chiropractic - Davenport, 2006
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

620 Jackson St
Sauk City, WI 53583-1463
Phone (608) 370-7328

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4222-012WIMDNeurology Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Vernon Clinic of Chiropractic, Inc PastSince May 16, 2016 Accepting new patients
Chiro One Wellness Center of Madison West, LLC PastSince Sep 1, 2019 Accepting new patients
Christianson Pfau Chiropractic LLC PastSince Nov 30, 2006 Accepting new patients

Organizations & group practices 4

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": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426723200000",
    "number": "1174578942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 JACKSON ST",
            "city": "SAUK CITY",
            "state": "WI",
            "postal_code": "535831463",
            "telephone_number": "608-370-7328",
            "fax_number": "608-370-7329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 JACKSON ST",
            "city": "SAUK CITY",
            "state": "WI",
            "postal_code": "535831463",
            "telephone_number": "608-370-7328",
            "fax_number": "608-237-3119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PFAU",
        "first_name": "DONALD",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2015-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "WI",
            "license": "4222-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38968000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sauk City, WI

Sources for this page

Verify at the official NPI Registry.