NPIMap

Organization Active NPI

Stoiber Healthcare S.C.

  • Chiropractor
  • Wisconsin Rapids, WI
National Provider Identifier
1376605246
Registry record updated Apr 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
649315-9 Issued in WI
Legal business name
STOIBER HEALTHCARE S.C.
Practice address
1210 Parkwood Dr
Wisconsin Rapids, WI 54494-5488
Phone
(715) 424-4646
Fax
(715) 424-3354
NPI assigned
Dec 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2015

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

Authorized official

Name
Mozelle L Stoiber, DCNPI 1992783989
Title
President
Phone
(715) 424-4646

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 649315-9 WI Primary

Addresses

Primary practice location

1210 Parkwood Dr
Wisconsin Rapids, WI 54494-5488

Mailing address

1210 Parkwood Dr
Wisconsin Rapids, WI 54494-5488
Phone (715) 424-4646

Other identifiers 2

IdentifierTypeStateIssuer
38991600MedicaidWI
CK9304OtherWIRAILROAD MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040916000062 WI Part B Supplier - Clinic/Group Practice 8325015571 Receives reassigned benefits from 2 practitioners
Practice locations: Wisconsin Rapids, WI

National Provider Directory

National Provider Directory

Locations

1210 Parkwood Dr
Wisconsin Rapids, WI 54494
Phone (715) 424-4646

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430352000000",
    "number": "1376605246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 PARKWOOD DR",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544945488",
            "telephone_number": "715-424-4646",
            "fax_number": "715-424-3354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 PARKWOOD DR",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544945488",
            "telephone_number": "715-424-4646",
            "fax_number": "715-424-3354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STOIBER HEALTHCARE S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2015-04-30",
        "status": "A",
        "authorized_official_last_name": "STOIBER",
        "authorized_official_first_name": "MOZELLE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "715-424-4646",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "649315-9",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38991600",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CK9304",
            "state": "WI"
        }
    ],
    "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 Apr 30, 2015; 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.