Organization Active NPI

Midwest Chiropractic Neurology, LLC

  • Chiropractor
  • Chippewa Falls, WI
National Provider Identifier
1669037602
Registry record updated May 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
MIDWEST CHIROPRACTIC NEUROLOGY, LLC
Practice address
2829 County Highway I # 3C
Chippewa Falls, WI 54729-2652
Phone
(470) 334-4191
NPI assigned
May 6, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2019

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

Authorized official

Name
Dr. Drew David Gintner, DCNPI 1962989517
Title
Controlling Member
Phone
(470) 334-4191

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

2829 County Highway I # 3C
Chippewa Falls, WI 54729-2652

Mailing address

2829 County Highway I # 3C
Chippewa Falls, WI 54729-2652
Phone (470) 334-4191

Other names 1

  • Midwest Chiropractic Neurology Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190513001840 WI Part B Supplier - Clinic/Group Practice 5092058115 Receives reassigned benefits from 1 practitioner
Practice locations: Chippewa Falls, WI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
52D2270608Midwest Chiropractic Neurology2829 County Hwy I, Chippewa Falls, WI 54729Certificate of waiverOct 17, 2026

National Provider Directory

National Provider Directory

Locations

2829 County Highway I
Ste 3C
Chippewa Falls, WI 54729
Phone (470) 334-4191

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": "1557100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557100800000",
    "number": "1669037602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2829 COUNTY HIGHWAY I # 3C",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547292652",
            "telephone_number": "470-334-4191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2829 COUNTY HIGHWAY I # 3C",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547292652",
            "telephone_number": "470-334-4191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST CHIROPRACTIC NEUROLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-06",
        "last_updated": "2019-05-06",
        "status": "A",
        "authorized_official_last_name": "GINTNER",
        "authorized_official_first_name": "DREW",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "CONTROLLING MEMBER",
        "authorized_official_telephone_number": "470-334-4191",
        "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": [],
    "other_names": [
        {
            "organization_name": "Midwest Chiropractic Neurology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chippewa Falls, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2019; 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.