Michael Joseph Croninger Jr., D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4552-012 Issued in WI

Practice address

4070 W Spencer St
Appleton, WI 54914-4015

Phone

(920) 731-3255

Fax

(920) 731-3357

NPI assigned

Mar 10, 2010

Last updated

Apr 24, 2019By 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

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gateway Chiropractic S C

  • Chiropractor
  • Appleton, WI
  • NPI 1659423416
  Medicare reassignment NPD
• Genesis Family Chiropractic SC

  • Chiropractor
  • Menasha, WI
  • NPI 1528382363
  NPD (past)

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

{
    "created_epoch": "1268179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556064000000",
    "number": "1477876134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4070 W SPENCER ST",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549144015",
            "telephone_number": "920-420-5796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4070 W SPENCER ST",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549144015",
            "telephone_number": "920-731-3255",
            "fax_number": "920-731-3357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRONINGER",
        "first_name": "MICHAEL",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-10",
        "last_updated": "2019-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4552-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Creekside Family Medicine, LLC
• Joan M Crennan, MD
• Maria E Cripe, APRN
• Mary Jo Crist
• Jennifer Rose Cronin, LPN
• Katelyn Alissa Cropp, APNP
• Michael Andrew Cruz
• Milagros R Cuaresma-Ambas, M.D.
• John J Cuddy, DDS
• Joseph Patrick Cullen, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.