Active NPI
Nathan J Meyer, DC
- Chiropractor
- Chippewa Falls, WI
National Provider Identifier
1689770729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3488-012
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38906000 | Medicaid | WI | |
| 38993300 | Other | WI | MEDICAID GROUP |
| CB3715 | Other | WI | RAILROAD MEDICARE GROUP |
| 50532 | Other | SECURITY HEALTH PLAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3488-012 | WI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alpha Chiropractic LLC | Chiropractor | Current | 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.
-
- Chiropractor
- Chippewa Falls, WI
- NPI 1548662943
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.