Active NPI
Gerald N Rindal, D.C.
- Chiropractor
- Antigo, WI
National Provider Identifier
1255435442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2862
- Practice address
- 1029 5TH Ave
Antigo, WI 54409-1458 - Phone
- (715) 623-5468
- Fax
- (715) 623-5468
- NPI assigned
- Sep 11, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 2862 | WI | Primary |
Addresses
Primary practice location
1029 5TH Ave
Antigo, WI 54409-1458
Mailing address
1029 5TH Ave
Antigo, WI 54409-1458
Phone (715) 623-5468
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
- Palmer College Chiropractic - Davenport, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1029 5TH Ave
Antigo, WI 54409-1458
Phone (715) 623-5468
N1472 St Hwy 45 S
Antigo, WI 54409-1458
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2862 | WI | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Antigo Family Chiropractic Center LLC | Chiropractor | Current | Accepting new patients |
Locations
1029 5th Ave
Antigo, WI 54409
Phone (715) 623-5468
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.
-
- Chiropractor
- Antigo, WI
- NPI 1083002927
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1255435442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1029 5TH AVE",
"city": "ANTIGO",
"state": "WI",
"postal_code": "544091458",
"telephone_number": "715-623-5468",
"fax_number": "715-623-5468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1029 5TH AVE",
"city": "ANTIGO",
"state": "WI",
"postal_code": "544091458",
"telephone_number": "715-623-5468",
"fax_number": "715-623-5468"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RINDAL",
"first_name": "GERALD",
"middle_name": "N",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "2862",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jul 8, 2007; 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.