Active NPI
Andrew B Vanroo, DC
- Chiropractor
- Mondovi, WI
National Provider Identifier
1396845905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3432-012
- Practice address
- 910 Countryside Pkwy
Mondovi, WI 54755-6000 - Phone
- (715) 926-6001
- NPI assigned
- Sep 24, 2006
- Last updated
- Mar 11, 2020
- Sex
- Male
- Sole proprietor
- No
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 | 3432-012 | WI | Primary |
Addresses
Primary practice location
910 Countryside Pkwy
Mondovi, WI 54755-6000
Mailing address
910 Countryside Pkwy
Mondovi, WI 54755-6000
Phone (715) 926-6001
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38901000 | Medicaid | WI |
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 - Davenport, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
910 Countryside Pkwy
Mondovi, WI 54755-6000
Phone (715) 926-6001
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3432-012 | WI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Van Roo Chiropractic, LLC | Current | Accepting new patients |
Locations
910 Countryside Pkwy
Mondovi, WI 54755
Phone (715) 926-6001
Interoperability endpoints
- avanroo@vrcl0001.direct.chirotouch.md
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Orthopedic Chiropractor
- Mondovi, WI
- NPI 1346653623
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583884800000",
"number": "1396845905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "910 COUNTRYSIDE PKWY",
"city": "MONDOVI",
"state": "WI",
"postal_code": "547556000",
"telephone_number": "715-926-6001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "910 COUNTRYSIDE PKWY",
"city": "MONDOVI",
"state": "WI",
"postal_code": "547556000",
"telephone_number": "715-926-6001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANROO",
"first_name": "ANDREW",
"middle_name": "B",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-24",
"last_updated": "2020-03-11",
"certification_date": "2020-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "3432-012",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "38901000",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mondovi, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2020; 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.