Individual provider Active NPI

Scott Joseph Cichosz, D.C.

  • Chiropractor
  • Onalaska, WI
National Provider Identifier
1699076299
Registry record updated Jan 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
468012 Issued in WI
Practice address
1438 Main St
Onalaska, WI 54650-2835
Phone
(608) 519-2519
Fax
(608) 519-2520
NPI assigned
Nov 12, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 007354 IA
Chiropractor 111N00000X 038.011803 IL
Chiropractor 111N00000X 468012 WI Primary

Addresses

Primary practice location

1438 Main St
Onalaska, WI 54650-2835

Mailing address

1438 Main St
Onalaska, WI 54650-2835
Phone (608) 519-2519

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170322000986 WI Practitioner - Chiropractic 7012184237 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2010
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1438 Main St
Onalaska, WI 54650-2835
Phone (608) 519-2519

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007354IAMDChiropractor
038.011803ILMDChiropractor
468012WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Stsa, LLC Chiropractor CurrentSince Feb 4, 2017 Accepting new patients
Elite Health Systems Inc Chiropractor PastSince Oct 20, 2011 Accepting new patients
Elite Health Systems Inc Chiropractor PastSince Jan 3, 2017 Accepting new patients
Revive Chiropractic Wellness Center, LLC Chiropractor PastSince Feb 4, 2017 Accepting new patients

Locations

1438 Main St
Onalaska, WI 54650
Phone (563) 676-4726

Organizations & group practices 4

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": "1289520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485648000000",
    "number": "1699076299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1438 MAIN ST",
            "city": "ONALASKA",
            "state": "WI",
            "postal_code": "546502835",
            "telephone_number": "608-519-2519",
            "fax_number": "608-519-2520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1438 MAIN ST",
            "city": "ONALASKA",
            "state": "WI",
            "postal_code": "546502835",
            "telephone_number": "608-519-2519",
            "fax_number": "608-519-2520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CICHOSZ",
        "first_name": "SCOTT",
        "middle_name": "JOSEPH",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-11-12",
        "last_updated": "2017-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "007354",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.011803",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "468012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Onalaska, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2017; 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.