Grant P Draeger, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5353 Issued in WI

Practice address

880 S View Dr Ste 15230
Mosinee, WI 54455-8205

Phone

(715) 203-0471

NPI assigned

Jul 19, 2018

Sex

Male

Sole proprietor

No

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

Specialty

Chiropractic

Education

Other, 2017

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Draeger Health LLC

  • Chiropractor
  • Mosinee, WI
  • NPI 1023834264
  Medicare reassignment NPD Authorized official
• Integrated Pain Solutions LLC

  • Chiropractor
  • Antigo, WI
  • NPI 1154418390
  Medicare reassignment NPD
• Gold Medal Group, LLC

  • Chiropractor
  • Green Bay, WI
  • NPI 1114513652
  NPD
• Integrated Pain Solutions LLC

  • Chiropractor
  • Mosinee, WI
  • NPI 1356856389
  NPD

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

{
    "created_epoch": "1531958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531958400000",
    "number": "1487130795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "827 CORMIER RD",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543044706",
            "telephone_number": "920-569-2350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 S VIEW DR STE 15230",
            "city": "MOSINEE",
            "state": "WI",
            "postal_code": "544558205",
            "telephone_number": "715-203-0471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAEGER",
        "first_name": "GRANT",
        "middle_name": "P",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-19",
        "last_updated": "2018-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "5353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal Training Institute, LLC
• Rebecca Lynn Deffner, NP
• Jason Craig Doering, D.D.S.
• Draeger Health LLC
• Alyssa Draeger, DCM, L.AC.
• Ross Dreger, DDS
• Dana Duguid
• Anna R Durst
• Tara Egnarski, COTA
• Frederick Charles Eichmiller, DDS

• All providers in Mosinee, WI
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; 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.