Anthony Carl Rinaldi Jr., DC

Individual provider Active NPI Chiropractor · Oconomowoc, WI

NPI 1306998372 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1306998372
Entity type
Individual (NPI type 1)
Primary specialty
Chiropractor 111N00000X
License
4011-012 (WI)
Practice address
W359N5920 Brown St
Oconomowoc, WI 53066-2488
Phone
(262) 560-4977
Fax
(775) 599-9575
NPI assigned
Jan 18, 2007
Sex
Male
Sole proprietor
No

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
HHS exclusion list flag
The National Provider Directory flags this NPI as appearing on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
4011-012WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Bergmann Chiropractic LLC Chiropractor Past Accepting new patients
Flex Care Chiropractic LLC Chiropractor Past
since Jan 1, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4011-012 WI Yes

Addresses

Primary practice location

W359N5920 Brown St
Oconomowoc, WI 53066-2488

Mailing address

W359N5920 Brown St
Oconomowoc, WI 53066-2488
Phone (262) 560-4977

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306998372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W359N5920 BROWN ST",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530662488",
            "telephone_number": "262-560-4977",
            "fax_number": "775-599-9575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W359N5920 BROWN ST",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530662488",
            "telephone_number": "262-560-4977",
            "fax_number": "775-599-9575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RINALDI",
        "first_name": "ANTHONY",
        "middle_name": "CARL",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4011-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oconomowoc, WI

All providers in Oconomowoc, WI · Chiropractor in Wisconsin

Sources for this page

Verify at the official NPI Registry.