Individual provider Active NPI

Craig Zalizniak, DC

  • Chiropractor
  • Medford, WI
National Provider Identifier
1649902750
Registry record updated Jun 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5772-12 Issued in WI
Practice address
1260 S 8TH St
Medford, WI 54451-2069
Phone
(715) 748-6969
NPI assigned
Jun 28, 2022
Last updated
Jun 28, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5772-12 WI Primary

Addresses

Primary practice location

1260 S 8TH St
Medford, WI 54451-2069

Mailing address

1260 S 8TH St
Medford, WI 54451-2069
Phone (715) 748-6969

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220721001762 WI Practitioner - Chiropractic 4486035417 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Chiropractic and Laser Centers IncGroup PAC ID 3678873585, 4 clinicians

Practice addresses (Care Compare)

1027 W McMillan St
Marshfield, WI 54449-1009
Phone (715) 898-1040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5772-12WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Chiropractic and Laser Centers, Inc Chiropractor CurrentSince Jan 2, 2023 Accepting new patients
Allied Health of Wisconsin, SC Chiropractor PastSince Jul 3, 2022 Accepting new patients

Locations

3 E Main St
Blk River Fls, WI 54615
Phone (715) 284-2225

1027 W McMillan St
Marshfield, WI 54449
Phone (715) 901-0013

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1656374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656374400000",
    "number": "1649902750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 S 8TH ST",
            "city": "MEDFORD",
            "state": "WI",
            "postal_code": "544512069",
            "telephone_number": "715-748-6969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 S 8TH ST",
            "city": "MEDFORD",
            "state": "WI",
            "postal_code": "544512069",
            "telephone_number": "715-748-6969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZALIZNIAK",
        "first_name": "CRAIG",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-28",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "5772-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2022; 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.