Individual provider Active NPI

Carrie Richter, DC

  • Chiropractor
  • Neenah, WI
National Provider Identifier
1508915067
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3905012 Issued in WI
Practice address
116 W Columbian Ave
Neenah, WI 54956-3018
Phone
(920) 969-1882
Fax
(920) 886-3613
NPI assigned
Jan 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3905012 WI Primary

Addresses

Primary practice location

116 W Columbian Ave
Neenah, WI 54956-3018

Mailing address

116 W Columbian Ave
Neenah, WI 54956-3018
Phone (920) 969-1882

Other identifiers 1

IdentifierTypeStateIssuer
38957100MedicaidWI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040609000445 WI Practitioner - Chiropractic 6406839745

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3905012WIMDChiropractor
3905WIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Neenah Family Chiropractic, LLC Chiropractor CurrentSince Mar 23, 2004 Accepting new patients

Locations

116 W Columbian Ave
Neenah, WI 54956
Phone (920) 969-1882

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": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508915067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 W COLUMBIAN AVE",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549563018",
            "telephone_number": "920-969-1882",
            "fax_number": "920-886-3613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 W COLUMBIAN AVE",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549563018",
            "telephone_number": "920-969-1882",
            "fax_number": "920-886-3613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHTER",
        "first_name": "CARRIE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3905012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38957100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Neenah, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.