NPIMap

Organization Active NPI

Advanced Care Center, Inc.

Doing business as Advanced Neck and Back Care Center

  • Chiropractor
  • Stevens Point, WI
National Provider Identifier
1396820924
Registry record updated Feb 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ADVANCED CARE CENTER, INC.
Doing business as
Advanced Neck and Back Care Center
Practice address
2516 Church St
Stevens Point, WI 54481-5201
Phone
(715) 341-4826
Fax
(715) 341-5080
NPI assigned
Oct 25, 2006
Last updated
Feb 3, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2011

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

Authorized official

Name
Dr. Dean D Gerads, D.C.NPI 1164507786
Title
Owner
Phone
(715) 341-4826

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
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

2516 Church St
Stevens Point, WI 54481-5201

Mailing address

2516 Church St
Stevens Point, WI 54481-5201
Phone (715) 341-4826

Other names 1

  • Advanced Neck and Back Care Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110118001247 WI Part B Supplier - Clinic/Group Practice 1153510425 Receives reassigned benefits from 2 practitioners
Practice locations: Stevens Point, WI

National Provider Directory

National Provider Directory

Locations

2516 Church St
Stevens Point, WI 54481
Phone (715) 341-4826

Practitioners & affiliated clinicians

Practitioners 2

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": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296691200000",
    "number": "1396820924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2516 CHURCH ST",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544815201",
            "telephone_number": "715-341-4826",
            "fax_number": "715-341-5080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2516 CHURCH ST",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544815201",
            "telephone_number": "715-341-4826",
            "fax_number": "715-341-5080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED CARE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2011-02-03",
        "status": "A",
        "authorized_official_last_name": "GERADS",
        "authorized_official_first_name": "DEAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-341-4826",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Neck and Back Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stevens Point, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2011; 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.