Richard Stanley Chisick Jr., D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3222-012 Issued in WI

Practice address

433 W Water St
Princeton, WI 54968-9148

Phone

(920) 295-6741

Fax

(920) 295-6742

NPI assigned

Sep 28, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Allied Health of Wisconsin, SC

  • Chiropractor
  • Wausau, WI
  • NPI 1487605051
  NPD (past)

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1720170715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 312",
            "city": "PRINCETON",
            "state": "WI",
            "postal_code": "549680312",
            "telephone_number": "920-295-6741",
            "fax_number": "920-295-6742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 W WATER ST",
            "city": "PRINCETON",
            "state": "WI",
            "postal_code": "549689148",
            "telephone_number": "920-295-6741",
            "fax_number": "920-295-6742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHISICK",
        "first_name": "RICHARD",
        "middle_name": "STANLEY",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3222-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WPPN",
            "identifier": "12400290",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38888800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angles of the Mind LLC
• Berlin Family Eye Care SC
• Barbara Jean Bittinger, L.AC.
• City of Princeton
• Michael Joseph Coppersmith, D.C.
• Joseph Cornejo, L.AC.
• Natasha Hilke, AGPCNP
• Karen A Hulbert, MD

• All providers in Princeton, WI
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.