Individual provider Active NPI

James A Early, D.C

  • Chiropractor
  • Fond Du Lac, WI
National Provider Identifier
1386785574
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4006-012 Issued in WI
Practice address
1211 Rickmeyer Dr
Fond Du Lac, WI 54937-2213
Phone
(920) 322-9594
Fax
(920) 322-9676
NPI assigned
Feb 9, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4006-012 WI Primary

Addresses

Primary practice location

1211 Rickmeyer Dr
Fond Du Lac, WI 54937-2213

Mailing address

1211 Rickmeyer Dr
Fond Du Lac, WI 54937-2213
Phone (920) 322-9594

Other identifiers 2

IdentifierTypeStateIssuer
841656122016OtherWIBCBS
38950600MedicaidWI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050128000231 WI Practitioner - Chiropractic 1052361060 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1211 Rickmeyer Dr
Suite F
Fond Du Lac, WI 54937-2214
Phone (920) 322-9594

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4006-012WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Early Clinic of Chiropractic LLC Chiropractor CurrentSince Jan 17, 2005 Accepting new patients

Locations

1211 Rickmeyer Dr
Fond du Lac, WI 54937
Phone (920) 322-9594

1211 Rickmeyer Dr
Ste F
Fond du Lac, WI 54937
Phone (920) 322-9594

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": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1386785574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 RICKMEYER DR",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549372213",
            "telephone_number": "920-322-9594",
            "fax_number": "920-322-9676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 RICKMEYER DR",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549372213",
            "telephone_number": "920-322-9594",
            "fax_number": "920-322-9676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EARLY",
        "first_name": "JAMES",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-09",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4006-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "841656122016",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38950600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fond Du Lac, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; 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.