Maggie A Bezanson, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6008-12 Issued in WI

Practice address

112 Wenban Ave
Neenah, WI 54956-3535

Phone

(262) 309-3602

NPI assigned

Nov 30, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Koch Chiropractic and Wellness Center

  • Chiropractor
  • Waupaca, WI
  • NPI 1659484574
  NPD

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

{
    "created_epoch": "1701302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701302400000",
    "number": "1407622301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 WENBAN AVE",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549563535",
            "telephone_number": "262-309-3602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 WENBAN AVE",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549563535",
            "telephone_number": "262-309-3602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEZANSON",
        "first_name": "MAGGIE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-30",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "6008-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cristy Berkholtz
• Penny Marie Bernards, ARNP
• Paige Danielle Bevers, PA
• Jessica I Beyer Trinkner, PT
• Nicole Beyer
• Sumon Bhattacharjee, MD
• Wendy M Biese, PHARMD
• Angela Marie Bilbrey, RD
• Bio-Medical Applications of Wisconsin, Inc.
• Rachel Blackburn, QTT

• Chiropractor in Neenah, WI
• Providers in Neenah, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.