Ricky Charles Draeger, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2531-12 Issued in WI

Practice address

1801 W Knapp St
Suite 2
Rice Lake, WI 54868-1380

Phone

(715) 234-1106

Fax

(715) 736-0960

NPI assigned

Jul 20, 2006

Last updated

Apr 10, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586476800000",
    "number": "1407876998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 W KNAPP ST",
            "address_2": "SUITE 2",
            "city": "RICE LAKE",
            "state": "WI",
            "postal_code": "548681380",
            "telephone_number": "715-234-1106",
            "fax_number": "715-736-0960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 W KNAPP ST",
            "address_2": "SUITE 2",
            "city": "RICE LAKE",
            "state": "WI",
            "postal_code": "548681380",
            "telephone_number": "715-234-1106",
            "fax_number": "715-736-0960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAEGER",
        "first_name": "RICKY",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2020-04-10",
        "certification_date": "2020-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "2531-12",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38846700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Liana Dietrich
• Judy Dolce, CRNA
• Jennifer Marie Donahue, OTR/L
• Andrea Elizabeth Doty, OTR/L
• Douglas J. Raether, M.D., S.C.
• Courtney Drury, OTR
• Ronald Lee Dudash, MSCCCSLP
• Janaan M. Duellman, PA-C
• Clare Duncan, AU.D
• Conrad E Eastwold, MD

• Chiropractor in Rice Lake, WI
• Providers in Rice Lake, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.

Verify at the official NPI Registry.