Active NPI
Christopher A Kaiser, DC
- Chiropractor
- Lake Geneva, WI
National Provider Identifier
1699845271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3050012
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3050 | WI | MD | Psychologist |
| 3050012 | WI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaiser Chiropractic, S.C. | Chiropractor | Current | 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.
-
- Chiropractor
- Lake Geneva, WI
- NPI 1083736813
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.