Don Raymond Zilisch, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3350 Issued in WI

Practice address

1801 Crooks Ave
Kaukauna, WI 54130-3245

Phone

(920) 766-9411

Fax

(920) 766-9412

NPI assigned

Dec 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Haanen Zilisch Smith Chiropractic Clinic LLCGroup PAC ID 2668501495, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Haanen Zilisch Smith Chiropractic Clinic LLC

  • Chiropractor
  • Kaukauna, WI
  • NPI 1003032178
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406764800000",
    "number": "1699836718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 CROOKS AVE",
            "city": "KAUKAUNA",
            "state": "WI",
            "postal_code": "541303245",
            "telephone_number": "920-766-9411",
            "fax_number": "920-766-9412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 CROOKS AVE",
            "city": "KAUKAUNA",
            "state": "WI",
            "postal_code": "541303245",
            "telephone_number": "920-766-9411",
            "fax_number": "920-766-9412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZILISCH",
        "first_name": "DON",
        "middle_name": "RAYMOND",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2014-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38897600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robyn Amanda West, RRT
• Sonia L Wiesner, LPC
• Jodi Wilhelm
• Ekin Tongze Yang
• Ashley Zellner, LCSW

• Chiropractor in Kaukauna, WI
• Providers in Kaukauna, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2014; 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.