Individual provider Active NPI

Steven John Edling, D.C., C.S.S.P.

  • Chiropractor
  • Osceola, WI
National Provider Identifier
1477752145
Registry record updated Feb 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2242-012 Issued in WI
Practice address
108 Chieftain St.
Osceola, WI 54020-0697
Phone
(715) 294-3100
Fax
(866) 255-0669
NPI assigned
Jul 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2427 MN
Chiropractor 111N00000X 2242-012 WI Primary

Addresses

Primary practice location

108 Chieftain St.
Osceola, WI 54020-0697

Mailing address

PO Box 697
Osceola, WI 54020-0697
Phone (715) 294-3100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080404000578 WI Practitioner - Chiropractic 6608953302 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

108 Chieftain St
Osceola, WI 54020-8110
Phone (715) 294-3100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2242-012WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Edling Chiropractic and Rehabilitation P.a. Chiropractor CurrentSince Feb 20, 2008 Accepting new patients

Locations

108 Chieftain St
Osceola, WI 54020
Phone (715) 294-2202

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": "1184284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676419200000",
    "number": "1477752145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 697",
            "city": "OSCEOLA",
            "state": "WI",
            "postal_code": "540200697",
            "telephone_number": "715-294-3100",
            "fax_number": "715-755-2929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 CHIEFTAIN ST.",
            "city": "OSCEOLA",
            "state": "WI",
            "postal_code": "540200697",
            "telephone_number": "715-294-3100",
            "fax_number": "866-255-0669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDLING",
        "first_name": "STEVEN",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.C., C.S.S.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-13",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "2427",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "2242-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Osceola, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; 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.