Active NPI
Draeger Chiropractic of Weston, LLC
- Clinic/Center
- Antigo, WI
National Provider Identifier
1699720037
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- 2183
- Legal business name
- DRAEGER CHIROPRACTIC OF WESTON, LLC
- Practice address
- 2327 Neva Rd
Antigo, WI 54409-2912 - Phone
- (715) 623-2123
- Fax
- (715) 623-6556
- NPI assigned
- May 24, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Curt J Draeger, D.C.
- Title
- Owner
- Phone
- (715) 623-2123
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | 2183 | WI | Primary |
Addresses
Primary practice location
2327 Neva Rd
Antigo, WI 54409-2912
Mailing address
2327 Neva Rd
Antigo, WI 54409-2912
Phone (715) 623-2123
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38987100 | Medicaid | WI |
Other names 1
- Draeger Chiropractic & Laser Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20051024000940 | WI | Part B Supplier - Clinic/Group Practice | 8820015316 |
Receives reassigned benefits from 2 practitioners 3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Antigo, WI; Mosinee, WI |
Other NPIs on the same Medicare enrollment 3
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryLocations
2327 US Highway 45
Antigo, WI 54409
Phone (715) 623-2123
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148428800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1534464000000",
"number": "1699720037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2327 NEVA RD",
"city": "ANTIGO",
"state": "WI",
"postal_code": "544092912",
"telephone_number": "715-623-2123",
"fax_number": "715-623-6556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2327 NEVA RD",
"city": "ANTIGO",
"state": "WI",
"postal_code": "544092912",
"telephone_number": "715-623-2123",
"fax_number": "715-623-6556"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DRAEGER CHIROPRACTIC OF WESTON, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-24",
"last_updated": "2018-08-17",
"status": "A",
"authorized_official_last_name": "DRAEGER",
"authorized_official_first_name": "CURT",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "715-623-2123",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "WI",
"license": "2183",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "38987100",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Draeger Chiropractic & Laser Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Antigo, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; 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.