Individual provider Active NPI

Christian Nicholas Meyer, DC

  • Chiropractor
  • Menomonie, WI
National Provider Identifier
1700075066
Registry record updated Jun 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2793 Issued in WI
Practice address
3019 Schneider Ave SE
Menomonie, WI 54751-2997
Phone
(715) 556-0177
Fax
(715) 235-6108
NPI assigned
Oct 23, 2007
Last updated
Jun 4, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2793 WI Primary

Addresses

Primary practice location

3019 Schneider Ave SE
Menomonie, WI 54751-2997

Mailing address

3019 Schneider Ave SE
Menomonie, WI 54751-2997
Phone (715) 556-0177

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110207000202 WI Practitioner - Chiropractic 4284813890 Reassigns benefits to 1 organization
Practice locations: Menomonie, WI

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 1991
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3019 Schneider Ave E
Menomonie, WI 54751-2997

3019 Schneider Ave SE
Menomonie, WI 54751-2997
Phone (715) 556-0177

3019 Schnerde Ave SE
Menomone, WI 54751

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2793WIMDPhysician Assistant

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338768000000",
    "number": "1700075066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3019 SCHNEIDER AVE SE",
            "city": "MENOMONIE",
            "state": "WI",
            "postal_code": "547512997",
            "telephone_number": "715-556-0177",
            "fax_number": "715-235-6108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3019 SCHNEIDER AVE SE",
            "city": "MENOMONIE",
            "state": "WI",
            "postal_code": "547512997",
            "telephone_number": "715-556-0177",
            "fax_number": "715-235-6108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYER",
        "first_name": "CHRISTIAN",
        "middle_name": "NICHOLAS",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-23",
        "last_updated": "2012-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "2793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Menomonie, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2012; 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.