Organization Active NPI

Krisik Chiropractic LLC

  • Nutrition Chiropractor
  • Rice Lake, WI
National Provider Identifier
1598136012
Registry record updated Jan 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
License
4509-12 Issued in WI
Legal business name
KRISIK CHIROPRACTIC LLC
Practice address
3011 S Main St
Suite 2
Rice Lake, WI 54868-8710
Phone
(715) 234-6338
NPI assigned
Oct 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2016

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

Authorized official

Name
Aaron J Krisik, D.C.NPI 1760612295
Title
Doctor of Chiropractic
Phone
(715) 234-6338

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NN1001X 4509-12 WI Primary

Addresses

Primary practice location

3011 S Main St
Suite 2
Rice Lake, WI 54868-8710

Mailing address

3011 S Main St
Suite 2
Rice Lake, WI 54868-8710
Phone (715) 234-6338

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151109001063 WI Part B Supplier - Clinic/Group Practice 4082924741 Receives reassigned benefits from 1 practitioner
Practice locations: Rice Lake, WI

National Provider Directory

National Provider Directory

Locations

3011 S Main St
Ste 2
Rice Lake, WI 54868
Phone (715) 234-6338

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1444348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453248000000",
    "number": "1598136012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3011 S MAIN ST",
            "address_2": "SUITE 2",
            "city": "RICE LAKE",
            "state": "WI",
            "postal_code": "548688710",
            "telephone_number": "715-234-6338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3011 S MAIN ST",
            "address_2": "SUITE 2",
            "city": "RICE LAKE",
            "state": "WI",
            "postal_code": "548688710",
            "telephone_number": "715-234-6338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISIK CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-09",
        "last_updated": "2016-01-20",
        "status": "A",
        "authorized_official_last_name": "KRISIK",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "715-234-6338",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Nutrition",
            "state": "WI",
            "license": "4509-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rice Lake, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2016; 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.