Organization Active NPI

Cuba City Chiropractic Office LLC

  • Chiropractor
  • Cuba City, WI
National Provider Identifier
1669536827
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CUBA CITY CHIROPRACTIC OFFICE LLC
Practice address
218 E Webster St
Cuba City, WI 53807
Phone
(608) 744-2725
Fax
(608) 744-2725
NPI assigned
Dec 21, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Stephen Charles Misky, DCNPI 1033220223
Title
Owner
Phone
(608) 744-2725

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

218 E Webster St
Cuba City, WI 53807

Mailing address

218 E Webster St
Cuba City, WI 53807
Phone (608) 744-2725

Other identifiers 2

IdentifierTypeStateIssuer
391786792005OtherBLUE CROSS BLUE SHIELD
38852000MedicaidWI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031120000707 WI Part B Supplier - Clinic/Group Practice 0648174714 Receives reassigned benefits from 2 practitioners
Practice locations: Cuba City, WI

National Provider Directory

National Provider Directory

Locations

218 E Webster St
Cuba City, WI 53807
Phone (608) 744-2725

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669536827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 E WEBSTER ST",
            "city": "CUBA CITY",
            "state": "WI",
            "postal_code": "53807",
            "telephone_number": "608-744-2725",
            "fax_number": "608-744-2725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 E WEBSTER ST",
            "city": "CUBA CITY",
            "state": "WI",
            "postal_code": "53807",
            "telephone_number": "608-744-2725",
            "fax_number": "608-744-2725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUBA CITY CHIROPRACTIC OFFICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MISKY",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-744-2725",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "391786792005",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38852000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cuba City, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.