Individual provider Active NPI

Paul A Drach, D.C.

  • Chiropractor
  • Marshfield, WI
National Provider Identifier
1750438149
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1518-012 Issued in WI
Practice address
607 E 3Rd St
Marshfield, WI 54449-4512
Phone
(715) 384-3010
NPI assigned
Jan 5, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1518-012 WI Primary

Addresses

Primary practice location

607 E 3Rd St
Marshfield, WI 54449-4512

Mailing address

607 E 3Rd St
Marshfield, WI 54449-4512
Phone (715) 384-3010

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070206000406 WI Practitioner - Chiropractic 6204838113 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

607 E 3Rd St
Marshfield, WI 54449-4512
Phone (715) 384-3010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1518-012WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Drach Chiropractic Center, LLC Chiropractor CurrentSince Jan 1, 2007 Accepting new patients
Allied Health of Wisconsin, SC Chiropractor Past Accepting new patients

Locations

607 E 3rd St
Marshfield, WI 54449
Phone (715) 384-3010

Organizations & group practices 2

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": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750438149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 E 3RD ST",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544494512",
            "telephone_number": "715-384-3010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 E 3RD ST",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544494512",
            "telephone_number": "715-384-3010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRACH",
        "first_name": "PAUL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "1518-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshfield, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.