Mark S Ensweiler, DC LAC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1734012 Issued in WI

Practice address

2610 Post Rd
Plover, WI 54467

Phone

(715) 345-0655

Fax

(715) 345-0904

NPI assigned

Nov 2, 2006

Last updated

Jun 30, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 1981

Medicare assignment

May accept Medicare assignment

Group practices

Lotus Healing Arts LLCGroup PAC ID 6406912666, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Lotus Healing Arts LLC

  • Chiropractor
  • Plover, WI
  • NPI 1154595841
  Medicare reassignment Care Compare group Authorized official

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214784000000",
    "number": "1609954049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 908",
            "address_2": "2610 POST RD",
            "city": "PLOVER",
            "state": "WI",
            "postal_code": "54467",
            "telephone_number": "715-345-0655",
            "fax_number": "715-345-0904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2610 POST RD",
            "city": "PLOVER",
            "state": "WI",
            "postal_code": "54467",
            "telephone_number": "715-345-0655",
            "fax_number": "715-345-0904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENSWEILER",
        "first_name": "MARK",
        "middle_name": "S",
        "credential": "DC LAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2008-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "1734012",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WI",
            "license": "18055",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clare A Cullen, APNP
• Joshua Alan Deisinger, LPC, SAC-IT
• Daniel G. Derezinski, MS RADCI
• Christopher Thomas Deroche, DPM
• Sara R Ebel, A.T.,C
• Mark F Fenlon, MD
• Heidi Renee Filko, MSW, APSW
• Kimm Fonti
• Frana 2011 (Plover Family Dental Care)
• Marc Frederiksen, O.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; 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.