Active NPI
Anthony J Bawek, DC
- Chiropractor
- Arcadia, WI
National Provider Identifier
1235285099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4282-012
- Practice address
- 305 S Dettloff Dr
Arcadia, WI 54612-1702 - Phone
- (608) 323-7651
- Fax
- (608) 323-7651
- NPI assigned
- Jan 26, 2007
- Last updated
- Feb 4, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4282-012 | WI | Primary |
Addresses
Primary practice location
305 S Dettloff Dr
Arcadia, WI 54612-1702
Mailing address
305 S Dettloff Drive
Arcadia, WI 54612-1702
Phone (608) 323-7651
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38993500 | Other | WI | MEDICAID GROUP |
| 38973800 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
305 Dettloff Dr
Arcadia, WI 54612-1702
Phone (608) 323-7651
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4282-012 | WI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arcadia Chiropractic & Wellness Inc. | Chiropractor | Current | Accepting new patients |
| Scott D. Bautch D C S C | Chiropractor | Past | Accepting new patients |
Locations
305 Dettloff Dr
Arcadia, WI 54612
Phone (608) 323-7651
Organizations & group practices 2
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.
-
- Chiropractor
- Arcadia, WI
- NPI 1730547621
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454544000000",
"number": "1235285099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 S DETTLOFF DRIVE",
"city": "ARCADIA",
"state": "WI",
"postal_code": "546121702",
"telephone_number": "608-323-7651",
"fax_number": "608-323-7651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 S DETTLOFF DR",
"city": "ARCADIA",
"state": "WI",
"postal_code": "546121702",
"telephone_number": "608-323-7651",
"fax_number": "608-323-7651"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAWEK",
"first_name": "ANTHONY",
"middle_name": "J",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-26",
"last_updated": "2016-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "4282-012",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID GROUP",
"identifier": "38993500",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "38973800",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Arcadia, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2016; 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.