Individual provider Active NPI

Jean L Rice, DC

  • Chiropractor
  • Waupaca, WI
National Provider Identifier
1770574329
Registry record updated Feb 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2695 Issued in WI
Practice address
304 S Western Ave
Waupaca, WI 54981-5703
Phone
(715) 258-8211
Fax
(715) 258-0118
NPI assigned
Nov 2, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2695 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 1

IdentifierTypeStateIssuer
38853100MedicaidWI

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

LicenseStateTypeSpecialty
2695WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Raschke Chiropractic Center SC Chiropractor CurrentSince Apr 29, 2011 Accepting new patients

Locations

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

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.

NPI Registry JSON

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361404800000",
    "number": "1770574329",
    "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": {
        "last_name": "RICE",
        "first_name": "JEAN",
        "middle_name": "L",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-02",
        "last_updated": "2013-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "2695",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38853100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Feb 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.