Individual provider Active NPI

Nicholas Reinhart Pope, D.C.

  • Chiropractor
  • Racine, WI
National Provider Identifier
1245569573
Registry record updated May 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4554-12 Issued in WI
Practice address
414 6TH St
Racine, WI 53403-1218
Phone
(262) 637-1822
NPI assigned
Dec 16, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4554-12 WI Primary

Addresses

Primary practice location

414 6TH St
Racine, WI 53403-1218

Mailing address

729 Grand Ave
Racine, WI 53403-1135
Phone (262) 880-7175

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100602000974 WI Practitioner - Chiropractic 7012046907 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lakeview Chiropractic and Wellness Clinic, S.C.Group PAC ID 3678602562, 2 clinicians

Practice addresses (Care Compare)

414 6TH St
Racine, WI 53403-1218
Phone (262) 637-1822

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4554-12WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Pope Family Chiropractic LLC Chiropractor Current Accepting new patients

Locations

4673 Old Grand Ave
Ste B
Gurnee, IL 60031
Phone (847) 754-3400

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1260921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652659200000",
    "number": "1245569573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "729 GRAND AVE",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534031135",
            "telephone_number": "262-880-7175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 6TH ST",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534031218",
            "telephone_number": "262-637-1822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPE",
        "first_name": "NICHOLAS",
        "middle_name": "REINHART",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-12-16",
        "last_updated": "2022-05-16",
        "certification_date": "2022-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4554-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Racine, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2022; 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.