Organization Active NPI

K-Blessed-M Inc.

  • Chiropractor
  • Rice Lake, WI
National Provider Identifier
1659911295
Registry record updated Jan 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
K-BLESSED-M INC.
Practice address
6 W Saint Patrick St
Rice Lake, WI 54868-2867
Phone
(715) 234-4222
Fax
(715) 736-0751
NPI assigned
Jan 12, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2020

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

Authorized official

Name
Michael David Sommerfeld, DCNPI 1023658622
Title
Chiropractor
Phone
(715) 491-3238

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

6 W Saint Patrick St
Rice Lake, WI 54868-2867

Mailing address

6 W Saint Patrick St
Rice Lake, WI 54868-2867
Phone (715) 234-4222

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200211000762 WI Part B Supplier - Clinic/Group Practice 3072949023 Receives reassigned benefits from 1 practitioner
Practice locations: Rice Lake, WI

National Provider Directory

National Provider Directory

Locations

6 W Saint Patrick St
Rice Lake, WI 54868
Phone (715) 234-4222

Practitioners & affiliated clinicians

Practitioners 2

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": "1578787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578787200000",
    "number": "1659911295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 W SAINT PATRICK ST",
            "city": "RICE LAKE",
            "state": "WI",
            "postal_code": "548682867",
            "telephone_number": "715-234-4222",
            "fax_number": "715-736-0751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 W SAINT PATRICK ST",
            "city": "RICE LAKE",
            "state": "WI",
            "postal_code": "548682867",
            "telephone_number": "715-234-4222",
            "fax_number": "715-736-0751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K-BLESSED-M INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-12",
        "last_updated": "2020-01-12",
        "certification_date": "2020-01-12",
        "status": "A",
        "authorized_official_last_name": "SOMMERFELD",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "715-491-3238",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "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 12, 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.