David Donald Joseph Augustine
Individual provider Active NPI Chiropractor · Oshkosh, WI
NPI 1669814653 · NPPES record last updated Mar 12, 2025
Key facts
- NPI
- 1669814653
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 5293-12 (WI)
- Practice address
- 1210 S Koeller St
Oshkosh, WI 54902-6170 - Phone
- (920) 235-0000
- Fax
- (920) 235-3522
- NPI assigned
- Jul 19, 2013
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Northwestern College of Chiropractic, 2012
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
314 N Koeller St
Oshkosh, WI 54902-4110
Phone (920) 235-0000
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171017002049 | WI | Practitioner - Chiropractic | 5294959201 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5293-12 | WI | MD | Chiropractor |
| 5293 | WI | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anderson Chiropractic of Oshkosh, S. C. | Chiropractor | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5804 | MN | |
| Chiropractor | 111N00000X | 5293-12 | WI | Yes |
Addresses
Primary practice location
1210 S Koeller St
Oshkosh, WI 54902-6170
Mailing address
314 N Koeller St
Oshkosh, WI 54902-4110
Phone (920) 235-0000
Other names
- David Donald Joseph Augustine
Other providers in Oshkosh, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 12, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.