Organization Active NPI

Rapids Chiropractic and Wellness SC

  • Chiropractor
  • Wisconsin Rapids, WI
National Provider Identifier
1285888727
Registry record updated Jun 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4244-12 Issued in WI
Legal business name
RAPIDS CHIROPRACTIC AND WELLNESS SC
Practice address
750 Dewey St
Wisconsin Rapids, WI 54494-5216
Phone
(715) 423-3020
Fax
(715) 423-3012
NPI assigned
Nov 11, 2008
Organization subpart
Yes
Parent organization
RAPIDS CHIROPRACTIC AND WELLNESS SCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 19, 2013

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

Authorized official

Name
Dr. Dennis Reak, D.C.NPI 1518050764
Title
Chiropractor/President
Phone
(715) 423-3020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4244-12 WI Primary

Addresses

Primary practice location

750 Dewey St
Wisconsin Rapids, WI 54494-5216

Mailing address

750 Dewey St
Wisconsin Rapids, WI 54494-5216
Phone (715) 423-3020

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090610000178 WI Part B Supplier - Clinic/Group Practice 1456401660 Receives reassigned benefits from 1 practitioner
Practice locations: Wisconsin Rapids, WI

National Provider Directory

National Provider Directory
Part of
Rapids Chiropractic and Wellness SC

Locations

750 Dewey St
Wisconsin Rapids, WI 54494
Phone (715) 423-3020

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1226361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371600000000",
    "number": "1285888727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 DEWEY ST",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544945216",
            "telephone_number": "715-423-3020",
            "fax_number": "715-423-3012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 DEWEY ST",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544945216",
            "telephone_number": "715-423-3020",
            "fax_number": "715-423-3012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAPIDS CHIROPRACTIC AND WELLNESS SC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RAPIDS CHIROPRACTIC AND WELLNESS SC",
        "enumeration_date": "2008-11-11",
        "last_updated": "2013-06-19",
        "status": "A",
        "authorized_official_last_name": "REAK",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "CHIROPRACTOR/PRESIDENT",
        "authorized_official_telephone_number": "715-423-3020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4244-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wisconsin Rapids, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2013; 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.