Rice Lake Chiropractic Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2753 Issued in WI

Legal business name

RICE LAKE CHIROPRACTIC INC

Practice address

1822 South Main St
Rice Lake, WI 54868

Phone

(715) 234-3612

Fax

(715) 234-1904

NPI assigned

Jun 17, 2006

Organization subpart

No

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

Authorized official

Name

Douglas Arvold, DCNPI 1528230026

Title

Owner

Phone

(715) 234-3612

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Douglas Arvold, D.C

  • Chiropractor
  • Rice Lake, WI
  • NPI 1528230026
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352764800000",
    "number": "1699710327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1822 SOUTH MAIN ST",
            "city": "RICE LAKE",
            "state": "WI",
            "postal_code": "54868",
            "telephone_number": "715-234-3612",
            "fax_number": "715-234-1904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1822 SOUTH MAIN ST",
            "city": "RICE LAKE",
            "state": "WI",
            "postal_code": "54868",
            "telephone_number": "715-234-3612",
            "fax_number": "715-234-1904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICE LAKE CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2012-11-13",
        "status": "A",
        "authorized_official_last_name": "ARVOLD",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-234-3612",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "2753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Racquel Quinn
• Douglas J Raether, M.D.
• Randall Therapeutic Services
• Kimberly Nicpon Randall
• Rice Lake Area School District
• Rice Lake Convalescent Center
• Rice Lake Family Eyecare, LLC
• Rice Lake Operations LLC
• Rice Lake Physical Therapy and Rehab Specialists
• Rice Lake Rehabilitation and Care Center LLC

• Chiropractor in Rice Lake, WI
• Providers in Rice Lake, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2012; 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.