Individual provider Active NPI

Richard Joseph Ranicke Jr., D.C.

  • Chiropractor
  • Brown Deer, WI
National Provider Identifier
1225216708
Registry record updated Feb 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2513 Issued in WI
Practice address
6051 W Brown Deer Rd
Suite 104
Brown Deer, WI 53223-2263
Phone
(414) 355-5301
Fax
(414) 355-5483
NPI assigned
Feb 6, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2513 WI Primary

Addresses

Primary practice location

6051 W Brown Deer Rd
Suite 104
Brown Deer, WI 53223-2263

Mailing address

6051 W Brown Deer Rd
Suite 104
Brown Deer, WI 53223-2263
Phone (414) 355-5301

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120130000135 WI Practitioner - Chiropractic 5395753313 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6051 W Brown Deer Rd
Suite 104
Brown Deer, WI 53223-2263
Phone (414) 355-5301

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
2513WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Great Lakes Chiropractic, LTD. Chiropractor CurrentSince Oct 1, 1997 Accepting new patients

Locations

6051 W Brown Deer Rd
Ste 104
Milwaukee, WI 53223
Phone (414) 355-5301

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": "1202256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202256000000",
    "number": "1225216708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6051 W BROWN DEER RD",
            "address_2": "SUITE 104",
            "city": "BROWN DEER",
            "state": "WI",
            "postal_code": "532232263",
            "telephone_number": "414-355-5301",
            "fax_number": "414-355-5483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6051 W BROWN DEER RD",
            "address_2": "SUITE 104",
            "city": "BROWN DEER",
            "state": "WI",
            "postal_code": "532232263",
            "telephone_number": "414-355-5301",
            "fax_number": "414-355-5483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANICKE",
        "first_name": "RICHARD",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-06",
        "last_updated": "2008-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "2513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brown Deer, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2008; 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.