Organization Active NPI

Integrated Pain Solutions LLC

Doing business as Draeger Chiropractic & Laser Center

  • Clinic/Center
  • Antigo, WI
National Provider Identifier
1225368780
Registry record updated Mar 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
2183 Issued in WI
Legal business name
INTEGRATED PAIN SOLUTIONS LLC
Doing business as
Draeger Chiropractic & Laser Center
Practice address
2327 Neva Road
Antigo, WI 54409
Phone
(715) 623-2123
Fax
(715) 623-6556
NPI assigned
Jan 6, 2010
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
Phone
(715) 623-2123

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
Clinic/Center 261Q00000X 2183 WI Primary

Addresses

Primary practice location

2327 Neva Road
Antigo, WI 54409

Mailing address

2327 Neva Road
Antigo, WI 54409
Phone (715) 623-2123

Other identifiers 1

IdentifierTypeStateIssuer
38987100MedicaidWI

Other names 1

  • Draeger Chiropractic & Laser Center 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
This NPI is an additional NPI on the 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

Locations

2327 US Highway 45
Antigo, WI 54409
Phone (715) 623-2123

Practitioners & affiliated clinicians

Practitioners 1

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": "1262736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427760000000",
    "number": "1225368780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2327 NEVA ROAD",
            "city": "ANTIGO",
            "state": "WI",
            "postal_code": "54409",
            "telephone_number": "715-623-2123",
            "fax_number": "715-623-6556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2327 NEVA ROAD",
            "city": "ANTIGO",
            "state": "WI",
            "postal_code": "54409",
            "telephone_number": "715-623-2123",
            "fax_number": "715-623-6556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED PAIN SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-06",
        "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",
        "authorized_official_telephone_number": "715-623-2123",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WI",
            "license": "2183",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38987100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Draeger Chiropractic & Laser Center",
            "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.