Individual provider Active NPI

Dustin R Genrich, DC

  • Chiropractor
  • Marshfield, WI
National Provider Identifier
1275287013
Registry record updated Feb 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5726 Issued in WI
Practice address
503 S Cherry Ave Ste 3
Marshfield, WI 54449-4276
Phone
(715) 898-1050
Fax
(715) 384-6992
NPI assigned
Feb 10, 2022
Last updated
Feb 10, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 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 5726 WI Primary

Addresses

Primary practice location

503 S Cherry Ave Ste 3
Marshfield, WI 54449-4276

Mailing address

503 S Cherry Ave Ste 3
Marshfield, WI 54449-4276
Phone (715) 898-1050

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220225002210 WI Practitioner - Chiropractic 1153715636 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Balancepoint Chiropractic LLCGroup PAC ID 0446795280, 2 clinicians

Practice addresses (Care Compare)

1500 Merrill Ave
Suite 201
Wausau, WI 54401-2590
Phone (715) 679-8585

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5726WIMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Absolute Health Chiropractic SC Chiropractor CurrentSince Feb 10, 2022 Accepting new patients
Balancepoint Chiropractic LLC Chiropractor CurrentSince Jul 8, 2024 Accepting new patients

Locations

503 S Cherry Ave
Ste 3
Marshfield, WI 54449
Phone (715) 898-1050

1500 Merrill Ave
Ste 201
Wausau, WI 54401
Phone (715) 675-5371

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.

NPI Registry JSON

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

{
    "created_epoch": "1644451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644451200000",
    "number": "1275287013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 S CHERRY AVE STE 3",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544494276",
            "telephone_number": "715-898-1050",
            "fax_number": "715-384-6992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 S CHERRY AVE STE 3",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544494276",
            "telephone_number": "715-898-1050",
            "fax_number": "715-384-6992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENRICH",
        "first_name": "DUSTIN",
        "middle_name": "R",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-10",
        "last_updated": "2022-02-10",
        "certification_date": "2022-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "5726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshfield, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.