Justin W Cronk, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5003-12 Issued in WI

Practice address

530 McClellan St
Wausau, WI 54403-4844

Phone

(715) 207-1562

NPI assigned

Jul 18, 2014

Last updated

Jul 18, 2014By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

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.

• Cronk Chiropractic

  dba Meverden Sports & Family Chiropractic

  • Chiropractor
  • Wausau, WI
  • NPI 1255748703
  NPD (past) Authorized official

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

{
    "created_epoch": "1405641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405641600000",
    "number": "1487061719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 SPRUCE RD",
            "city": "MOSINEE",
            "state": "WI",
            "postal_code": "544558301",
            "telephone_number": "715-207-1562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 MCCLELLAN ST",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544034844",
            "telephone_number": "715-207-1562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRONK",
        "first_name": "JUSTIN",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-18",
        "last_updated": "2014-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "5003-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cpi Wausau LLC (Badger Family Pharmacy Wausau)
• Rhonda Cram, CADC III
• Russell W. Creel, NP
• Jeffrey Crispell, M.D.
• Cronk Chiropractic (Meverden Sports & Family Chiropractic)
• Julie M Cummins
• Natalie Rose Cunningham, APSW
• Joan Curran
• James M Cygan, MD
• Tara Jean Czarnezki, CST

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2014; 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.