Individual provider Active NPI

Gerald N Rindal, D.C.

  • Chiropractor
  • Antigo, WI
National Provider Identifier
1255435442
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2862 Issued in WI
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20150323002443 WI Practitioner - Chiropractic 8123020716 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
2862WIMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Antigo Family Chiropractic Center LLC Chiropractor CurrentSince Dec 19, 2014 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.

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.

Verify at the official NPI Registry.