Active NPI
John M Reitz, DC
- Chiropractor
- Sheboygan, WI
National Provider Identifier
1740331768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3945-012
- Practice address
- 1517 S 12TH St
Sheboygan, WI 53081-5243 - Phone
- (920) 459-8477
- Fax
- (920) 459-8799
- NPI assigned
- Jan 16, 2007
- 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 | 3945-012 | WI | Primary |
Addresses
Primary practice location
1517 S 12TH St
Sheboygan, WI 53081-5243
Mailing address
1517 S 12TH St
Sheboygan, WI 53081-5243
Phone (920) 459-8477
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38946000 | 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
- Palmer College Chiropractic - Davenport, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1517 S 12TH St
Sheboygan, WI 53081-5243
Phone (920) 459-8477
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3945-012 | WI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Better Life Chiropractic & Wellness SC | Chiropractor | Current | Accepting new patients |
Locations
2217 S Memorial Pl
Sheboygan, WI 53081
Phone (920) 208-7000
1517 S 12th St
Sheboygan, WI 53081
Phone (920) 459-8477
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
- Sheboygan, WI
- NPI 1912024811
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726099200000",
"number": "1740331768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1517 S 12TH ST",
"city": "SHEBOYGAN",
"state": "WI",
"postal_code": "530815243",
"telephone_number": "920-459-8477",
"fax_number": "920-459-8799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1517 S 12TH ST",
"city": "SHEBOYGAN",
"state": "WI",
"postal_code": "530815243",
"telephone_number": "920-459-8477",
"fax_number": "920-459-8799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REITZ",
"first_name": "JOHN",
"middle_name": "M",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-16",
"last_updated": "2024-09-12",
"certification_date": "2024-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "3945-012",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "38946000",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sheboygan, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; 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.