Individual provider Active NPI

Monica E. Maroney, D.C., D.I.C.C.P.

  • Chiropractor
  • Shorewood, WI
National Provider Identifier
1467552745
Registry record updated Jul 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3821-012 Issued in WI
Practice address
4433 N Oakland Ave
Shorewood, WI 53211-1611
Phone
(414) 962-5483
Fax
(414) 962-5482
NPI assigned
Sep 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3821-012 WI Primary

Addresses

Primary practice location

4433 N Oakland Ave
Shorewood, WI 53211-1611

Mailing address

4433 N Oakland Ave
Shorewood, WI 53211-1611
Phone (414) 962-5483

Other identifiers 2

IdentifierTypeStateIssuer
04-3713163OtherWIFEDERAL ID NUMBER
38940700MedicaidWI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110215001105 WI Practitioner - Chiropractic 4183804636 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Monica E. Maroney S CGroup PAC ID 1658551106, 2 clinicians

Practice addresses (Care Compare)

4433 N Oakland Ave
Suite a
Shorewood, WI 53211-1600
Phone (414) 962-5483

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3821-012WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Monica E. Maroney S C Chiropractor CurrentSince Oct 1, 2010 Accepting new patients

Locations

4433 N Oakland Ave
Ste A
Shorewood, WI 53211
Phone (414) 962-5483

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": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280102400000",
    "number": "1467552745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4433 N OAKLAND AVE",
            "city": "SHOREWOOD",
            "state": "WI",
            "postal_code": "532111611",
            "telephone_number": "414-962-5483",
            "fax_number": "414-962-5482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4433 N OAKLAND AVE",
            "city": "SHOREWOOD",
            "state": "WI",
            "postal_code": "532111611",
            "telephone_number": "414-962-5483",
            "fax_number": "414-962-5482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARONEY",
        "first_name": "MONICA",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "D.C., D.I.C.C.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2010-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3821-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL ID NUMBER",
            "identifier": "04-3713163",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38940700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shorewood, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2010; 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.