Individual provider Active NPI

Michael Ronald Zolper, D.C.

  • Chiropractor
  • Baraboo, WI
National Provider Identifier
1669519096
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3772012 Issued in WI
Practice address
701 Ash St
Baraboo, WI 53913-2139
Phone
(608) 355-7999
Fax
(608) 355-7995
NPI assigned
Feb 1, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3772012 WI Primary

Addresses

Primary practice location

701 Ash St
Baraboo, WI 53913-2139

Mailing address

701 Ash St
Baraboo, WI 53913-2139
Phone (608) 355-7999

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120618000055 WI Practitioner - Chiropractic 1254595598 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Zolper Family Chiropractic LLCGroup PAC ID 0345404687, 2 clinicians

Practice addresses (Care Compare)

626 14TH St
Suite B
Baraboo, WI 53913-1535
Phone (608) 355-7999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3772012WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Zolper Family Chiropractic LLC Chiropractor CurrentSince Jun 1, 2012 Accepting new patients

Locations

626 14th St
#B
Baraboo, WI 53913
Phone (608) 355-7999

701 Ash St
Baraboo, WI 53913
Phone (608) 355-0233

Organizations & group practices 1

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": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669519096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 ASH ST",
            "city": "BARABOO",
            "state": "WI",
            "postal_code": "539132139",
            "telephone_number": "608-355-7999",
            "fax_number": "608-355-7995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 ASH ST",
            "city": "BARABOO",
            "state": "WI",
            "postal_code": "539132139",
            "telephone_number": "608-355-7999",
            "fax_number": "608-355-7995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOLPER",
        "first_name": "MICHAEL",
        "middle_name": "RONALD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3772012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baraboo, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.