Individual provider Active NPI

Michael Vincent Cirilli, DC

  • Nutrition Chiropractor
  • Minocqua, WI
National Provider Identifier
1275686834
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
License
2302 Issued in WI
Practice address
8683 Stuart Ave
Minocqua, WI 54548-9014
Phone
(715) 956-4478
Fax
(715) 356-7775
NPI assigned
Jan 18, 2007
Sex
Male
Sole proprietor
No

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
Nutrition Chiropractor 111NN1001X 2302 WI Primary

Addresses

Primary practice location

8683 Stuart Ave
Minocqua, WI 54548-9014

Mailing address

8683 Stuart Ave
Minocqua, WI 54548-9014
Phone (715) 956-4478

Other identifiers 1

IdentifierTypeStateIssuer
38834900MedicaidWI

Other names 1

  • Dr. Michael Vincent Cirilli Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080620000079 WI Practitioner - Chiropractic 3678644564 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 1987
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

8683 Stuart Ave
Minocqua, WI 54548-9014
Phone (715) 356-4478

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Michael V. Cirilli D.C. Inc. CurrentSince Apr 4, 1988 Accepting new patients

Locations

8683 Stuart Ave
Minocqua, WI 54548
Phone (715) 356-4478

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": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275686834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8683 STUART AVE",
            "city": "MINOCQUA",
            "state": "WI",
            "postal_code": "545489014",
            "telephone_number": "715-956-4478",
            "fax_number": "715-356-7775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8683 STUART AVE",
            "city": "MINOCQUA",
            "state": "WI",
            "postal_code": "545489014",
            "telephone_number": "715-956-4478",
            "fax_number": "715-356-7775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIRILLI",
        "first_name": "MICHAEL",
        "middle_name": "VINCENT",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "WI",
            "license": "2302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38834900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHAEL",
            "last_name": "CIRILLI",
            "middle_name": "VINCENT",
            "prefix": "DR.",
            "credential": "DC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Minocqua, 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.