Individual provider Active NPI

Christopher David Resch, D.C.

  • Chiropractor
  • Neenah, WI
National Provider Identifier
1205997715
Registry record updated Aug 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2694-012 Issued in WI
Practice address
1511 S Commercial St
Neenah, WI 54956-4801
Phone
(920) 720-0660
Fax
(920) 720-0666
NPI assigned
Dec 12, 2006
Last updated
Aug 31, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2694-012 WI Primary

Addresses

Primary practice location

1511 S Commercial St
Neenah, WI 54956-4801

Mailing address

1511 S Commercial St
Neenah, WI 54956-4801
Phone (920) 720-0660

Other identifiers 2

IdentifierTypeStateIssuer
391-967021018OtherWIBLUE CROSS
38858700MedicaidWI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120223000209 WI Practitioner - Chiropractic 7810930906 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1991
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

279 N Altenhofen Dr
Appleton, WI 54913-8401
Phone (920) 720-0660

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2694-012WIMDChiropractor
2694WIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Schubbe Resch Chiropractic & Physical Therapy Center, LLC Chiropractor CurrentSince Dec 8, 1992 Accepting new patients
Radiology Associates of the Fox Valley, SC Past Accepting new patients
Schubbe Family Chiropractic LTD Chiropractor PastSince Aug 1, 1999 Accepting new patients

Locations

279 N Altenhofen Dr
Appleton, WI 54913
Phone (920) 720-0660

1511 S Commercial St
Neenah, WI 54956
Phone (920) 720-0660

Interoperability endpoints

  • Direct secure messaging: cresch@src0004.direct.chirotouch.md

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630368000000",
    "number": "1205997715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 S COMMERCIAL ST",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549564801",
            "telephone_number": "920-720-0660",
            "fax_number": "920-720-0666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 S COMMERCIAL ST",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549564801",
            "telephone_number": "920-720-0660",
            "fax_number": "920-720-0666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RESCH",
        "first_name": "CHRISTOPHER",
        "middle_name": "DAVID",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "2694-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "391-967021018",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38858700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Neenah, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; 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.