Active NPI
Patrick Shannon Dewar, DC
- Chiropractor
- Greenville, WI
National Provider Identifier
1730277245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3297
- Practice address
- N1734 Municipal Dr
Greenville, WI 54942-8721 - Phone
- (920) 757-9999
- Fax
- (920) 364-0237
- NPI assigned
- Oct 10, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 3297 | WI | Primary |
Addresses
Primary practice location
N1734 Municipal Dr
Greenville, WI 54942-8721
Mailing address
N1734 Municipal Dr
Greenville, WI 54942-8721
Phone (920) 757-9999
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300064269 | Medicaid | WI |
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
- Logan College of Chiropractic, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
N1734 Municipal Dr
Greenville, WI 54942-8721
Phone (920) 757-9999
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3297 | WI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greenville Chiropractic Inc. | Chiropractor | Current | Accepting new patients |
Locations
N1734 Municipal Dr
Greenville, WI 54942
Phone (920) 757-9999
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.
-
- Chiropractor
- Greenville, WI
- NPI 1194896886
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756944000000",
"number": "1730277245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "N1734 MUNICIPAL DR",
"city": "GREENVILLE",
"state": "WI",
"postal_code": "549428721",
"telephone_number": "920-757-9999",
"fax_number": "920-364-0237"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "N1734 MUNICIPAL DR",
"city": "GREENVILLE",
"state": "WI",
"postal_code": "549428721",
"telephone_number": "920-757-9999",
"fax_number": "920-364-0237"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEWAR",
"first_name": "PATRICK",
"middle_name": "SHANNON",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-10",
"last_updated": "2025-09-04",
"certification_date": "2025-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "3297",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300064269",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2025; 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.