Active NPI
Ryan James Effertz
- Chiropractor
- Rice Lake, WI
National Provider Identifier
1760614192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 452412
- Practice address
- 225 S Main St
Rice Lake, WI 54868-2231 - Phone
- (715) 234-9876
- NPI assigned
- Aug 18, 2009
- 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 | 452412 | WI | Primary |
Addresses
Primary practice location
225 S Main St
Rice Lake, WI 54868-2231
Mailing address
815 E 9TH St S
Ladysmith, WI 54848-2368
Phone (715) 532-5643
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 452412 | WI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ideal Chiropractic Health Center LLC | Current | Accepting new patients | |
| Stephens Chiropractic, S.C. | Chiropractor | Past | Accepting new patients |
Locations
1082 Cedar Cross Rd
Ste 1002
Dubuque, IA 52003
Phone (563) 581-1503
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 and National Provider Directory roles.
-
- Preferred Provider Organization
- Dubuque, IA
- NPI 1447598719
-
- Chiropractor
- Rice Lake, WI
- NPI 1710322540
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1250553600000",
"number": "1760614192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "815 E 9TH ST S",
"city": "LADYSMITH",
"state": "WI",
"postal_code": "548482368",
"telephone_number": "715-532-5643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 S MAIN ST",
"city": "RICE LAKE",
"state": "WI",
"postal_code": "548682231",
"telephone_number": "715-234-9876"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EFFERTZ",
"first_name": "RYAN",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-08-18",
"last_updated": "2009-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "452412",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rice Lake, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.