Individual provider Active NPI

Leonard J Tomcek, D.C

  • Chiropractor
  • Schofield, WI
National Provider Identifier
1265587125
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1627 Issued in WI
Practice address
320 Ross Ave Ste 7
Schofield, WI 54476-1816
Phone
(715) 359-0229
NPI assigned
Jan 23, 2007
Last updated
Jul 8, 2007By the provider in NPPES
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 1627 WI Primary

Addresses

Primary practice location

320 Ross Ave Ste 7
Schofield, WI 54476-1816

Mailing address

320 Ross Ave Ste 7
Schofield, WI 54476-1816
Phone (715) 359-0229

Other identifiers 1

IdentifierTypeStateIssuer
38765000MedicaidWI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120302000396 WI Practitioner - Chiropractic 6709045263 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1627WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Leonard J Tomcek DC SC Chiropractor CurrentSince Mar 1, 2012 Accepting new patients

Locations

320 Ross Ave
Ste 7
Schofield, WI 54476
Phone (715) 359-0229

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265587125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 ROSS AVE STE 7",
            "city": "SCHOFIELD",
            "state": "WI",
            "postal_code": "544761816",
            "telephone_number": "715-359-0229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 ROSS AVE STE 7",
            "city": "SCHOFIELD",
            "state": "WI",
            "postal_code": "544761816",
            "telephone_number": "715-359-0229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMCEK",
        "first_name": "LEONARD",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "1627",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38765000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Schofield, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.