Individual provider Active NPI

Christopher A Kaiser, DC

  • Chiropractor
  • Lake Geneva, WI
National Provider Identifier
1699845271
Registry record updated Dec 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3050012 Issued in WI
Practice address
790 Gardner St
Lake Geneva, WI 53147-1233
Phone
(262) 248-4001
Fax
(262) 248-4069
NPI assigned
Nov 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3050012 WI Primary

Addresses

Primary practice location

790 Gardner St
Lake Geneva, WI 53147-1233

Mailing address

790 Gardner St
Lake Geneva, WI 53147-1233
Phone (262) 248-4001

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051206000631 WI Practitioner - Chiropractic 5395765291 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

790 Gardner St
Lake Geneva, WI 53147-1233
Phone (262) 248-4001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3050WIMDPsychologist
3050012WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Kaiser Chiropractic, S.C. Chiropractor CurrentSince Aug 8, 2001 Accepting new patients

Locations

790 Gardner St
Ste 1
Lake Geneva, WI 53147
Phone (262) 248-4001

790 Gardner St
Lake Geneva, WI 53147
Phone (262) 215-2292

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.

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291766400000",
    "number": "1699845271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 GARDNER ST",
            "city": "LAKE GENEVA",
            "state": "WI",
            "postal_code": "531471233",
            "telephone_number": "262-248-4001",
            "fax_number": "262-248-4069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 GARDNER ST",
            "city": "LAKE GENEVA",
            "state": "WI",
            "postal_code": "531471233",
            "telephone_number": "262-248-4001",
            "fax_number": "262-248-4069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAISER",
        "first_name": "CHRISTOPHER",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2010-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3050012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Geneva, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2010; 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.