Organization Active NPI

Spinecare

  • Chiropractor
  • Marinette, WI
National Provider Identifier
1659905958
Registry record updated Feb 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SPINECARE
Practice address
3110 Gilbert St Ste B
Marinette, WI 54143-1934
Phone
(715) 923-0597
NPI assigned
Feb 25, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2020

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

Authorized official

Name
Dr. Nicolas Howard Herrild, DCNPI 1013360155
Title
Owner/Physician
Phone
(715) 732-4018

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

3110 Gilbert St Ste B
Marinette, WI 54143-1934

Mailing address

N195 West Dr
Menominee, MI 49858-9788
Phone (715) 923-0597

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Spinecarellc@gmail.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210319000374 WI Part B Supplier - Clinic/Group Practice 4981011962 Receives reassigned benefits from 3 practitioners
Practice locations: Marinette, WI

National Provider Directory

National Provider Directory

Locations

3110 Gilbert St
Ste B
Marinette, WI 54143
Phone (715) 732-4018

Practitioners & affiliated clinicians

Practitioners 7

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": "1582588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582588800000",
    "number": "1659905958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N195 WEST DR",
            "city": "MENOMINEE",
            "state": "MI",
            "postal_code": "498589788",
            "telephone_number": "715-923-0597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3110 GILBERT ST STE B",
            "city": "MARINETTE",
            "state": "WI",
            "postal_code": "541431934",
            "telephone_number": "715-923-0597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-25",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A",
        "authorized_official_last_name": "HERRILD",
        "authorized_official_first_name": "NICOLAS",
        "authorized_official_middle_name": "HOWARD",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "715-732-4018",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Spinecarellc@gmail.com",
            "affiliation": "N",
            "address_1": "3110 Gilbert St Ste B",
            "city": "Marinette",
            "state": "WI",
            "country_code": "US",
            "postal_code": "541431934",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marinette, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2020; 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.