Active NPI
Randall L Blohowiak, DC
- Chiropractor
- Neenah, WI
National Provider Identifier
1356301188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2757
- Practice address
- 1031 Northcreek Dr
Neenah, WI 54956-5651 - Phone
- (920) 810-4526
- Fax
- (920) 324-9898
- NPI assigned
- Mar 24, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2757 | WI | Primary |
Addresses
Primary practice location
1031 Northcreek Dr
Neenah, WI 54956-5651
Mailing address
1031 Northcreek Dr
Neenah, WI 54956
Phone (920) 810-4526
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38861600 | Medicaid | WI | |
| 350056712 | Other | WI | RAILROAD MEDICARE |
| 14376 | Other | WI | DEAN CARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - West Sunnyvale, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
160 Gateway Dr
Waupun, WI 53963-2276
Phone (920) 324-9899
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2757 | WI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Medical Center, S.C. | Current | Accepting new patients | |
| Wound Care of Wisconsin LLC | Current | Accepting new patients | |
| Massart Chiropractic SC | Chiropractor | Past | Accepting new patients |
Locations
160 Gateway Dr
Ste A
Waupun, WI 53963
Phone (920) 324-9899
160 Gateway Dr
Waupun, WI 53963
Phone (920) 324-9899
Organizations & group practices 3
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.
-
- General Practice Physician
- Waupun, WI
- NPI 1093368607
-
- Primary Care Clinic/Center
- Waupun, WI
- NPI 1669296364
-
- Chiropractor
- Green Bay, WI
- NPI 1669616801
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747872000000",
"number": "1356301188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1031 NORTHCREEK DR",
"city": "NEENAH",
"state": "WI",
"postal_code": "54956",
"telephone_number": "920-810-4526",
"fax_number": "920-324-9898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1031 NORTHCREEK DR",
"city": "NEENAH",
"state": "WI",
"postal_code": "549565651",
"telephone_number": "920-810-4526",
"fax_number": "920-324-9898"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLOHOWIAK",
"first_name": "RANDALL",
"middle_name": "L",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-24",
"last_updated": "2025-05-22",
"certification_date": "2025-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "2757",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "38861600",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "350056712",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEAN CARE",
"identifier": "14376",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Neenah, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2025; 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.