NPIMap

Organization Active NPI

Raschke Chiropractic Center SC

  • Chiropractor
  • Waupaca, WI
National Provider Identifier
1750382537
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1788-012 Issued in WI
Legal business name
RASCHKE CHIROPRACTIC CENTER SC
Doing business as
Waupaca Chiropractic Center
Practice address
304 S Western Ave
Waupaca, WI 54981-5703
Phone
(715) 258-8211
Fax
(715) 258-0118
NPI assigned
Aug 3, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2025

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

Authorized official

Name
Tyler B Skibba, DCNPI 1629359120
Title
Owner
Phone
(920) 997-9740

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1788-012 WI Primary

Addresses

Primary practice location

304 S Western Ave
Waupaca, WI 54981-5703

Mailing address

304 S Western Ave
Waupaca, WI 54981-5703
Phone (715) 258-8211

Other identifiers 3

IdentifierTypeStateIssuer
350045133OtherRAILROAD MEDICARE
343707OtherWIEIN#
38777200MedicaidWI

Other names 1

  • Waupaca Chiropractic Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110329000676 WI Part B Supplier - Clinic/Group Practice 9234312224 Receives reassigned benefits from 4 practitioners
Practice locations: Waupaca, WI

National Provider Directory

National Provider Directory

Locations

304 S Western Ave
Waupaca, WI 54981
Phone (715) 258-8211

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1123027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743638400000",
    "number": "1750382537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 S WESTERN AVE",
            "city": "WAUPACA",
            "state": "WI",
            "postal_code": "549815703",
            "telephone_number": "715-258-8211",
            "fax_number": "715-258-0118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 S WESTERN AVE",
            "city": "WAUPACA",
            "state": "WI",
            "postal_code": "549815703",
            "telephone_number": "715-258-8211",
            "fax_number": "715-258-0118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RASCHKE CHIROPRACTIC CENTER SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-03",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A",
        "authorized_official_last_name": "SKIBBA",
        "authorized_official_first_name": "TYLER",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "920-997-9740",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "1788-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "350045133",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EIN#",
            "identifier": "343707",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38777200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Waupaca Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waupaca, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.