Individual provider Active NPI

Devin Reissing, DC

  • Chiropractor
  • Marshfield, WI
National Provider Identifier
1528576006
Registry record updated Jan 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5312-12 Issued in WI
Practice address
200 Air Park Rd
Marshfield, WI 54449-8626
Phone
(715) 384-3553
NPI assigned
Jan 18, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5312-12 WI Primary

Addresses

Primary practice location

200 Air Park Rd
Marshfield, WI 54449-8626

Mailing address

513 S Felker Ave
Marshfield, WI 54449-4455
Phone (414) 688-7866

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5312-12WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Changes Within S.C. Chiropractor PastSince Feb 16, 2015 Accepting new patients

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": "1516233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516233600000",
    "number": "1528576006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 S FELKER AVE",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544494455",
            "telephone_number": "414-688-7866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 AIR PARK RD",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544498626",
            "telephone_number": "715-384-3553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REISSING",
        "first_name": "DEVIN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-18",
        "last_updated": "2018-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "5312-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshfield, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2018; 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.