Individual provider Active NPI

Nathan J Meyer, DC

  • Chiropractor
  • Chippewa Falls, WI
National Provider Identifier
1689770729
Registry record updated Dec 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3488-012 Issued in WI
Practice address
475 Chippewa Mall Dr
Ste 404
Chippewa Falls, WI 54729-5034
Phone
(715) 720-7116
NPI assigned
Sep 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 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 3488-012 WI Primary

Addresses

Primary practice location

475 Chippewa Mall Dr
Ste 404
Chippewa Falls, WI 54729-5034

Mailing address

601 S 32ND Ave
Wausau, WI 54401-3958
Phone (715) 848-2526

Other identifiers 4

IdentifierTypeStateIssuer
38906000MedicaidWI
38993300OtherWIMEDICAID GROUP
CB3715OtherWIRAILROAD MEDICARE GROUP
50532OtherSECURITY HEALTH PLAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150416001349 WI Practitioner - Chiropractic 6406902485 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

17 W Spring St
Chippewa Falls, WI 54729-2183
Phone (715) 720-7116

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3488-012WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Alpha Chiropractic LLC Chiropractor CurrentSince Mar 2, 2015 Accepting new patients

Locations

17 W Spring St
Chippewa Fls, WI 54729
Phone (715) 720-7116

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197936000000",
    "number": "1689770729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S 32ND AVE",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544013958",
            "telephone_number": "715-848-2526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 CHIPPEWA MALL DR",
            "address_2": "STE 404",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547295034",
            "telephone_number": "715-720-7116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYER",
        "first_name": "NATHAN",
        "middle_name": "J",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2007-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3488-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38906000",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP",
            "identifier": "38993300",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP",
            "identifier": "CB3715",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SECURITY HEALTH PLAN",
            "identifier": "50532",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Dec 18, 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.