Gregory Roger Kumlien, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4634-012 Issued in WI

Practice address

204 1/2 2ND Ave. East
Osceola, WI 54020-0507

Phone

(715) 294-4224

NPI assigned

Jun 22, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Ladd Memorial Hospital

  • Critical Access Hospital
  • Osceola, WI
  • NPI 1467560227

  Corporate Director

  CMS ownership

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.

• Kumlien Chiropractic LLC

  • Chiropractor
  • Osceola, WI
  • NPI 1942586276
  Medicare reassignment NPD Authorized official
• Advanced Chiropractic, S.C.

  • Orthopedic Chiropractor
  • Twin Lakes, WI
  • NPI 1578629424
  NPD (past)

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

{
    "created_epoch": "1277164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411603200000",
    "number": "1780905943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 1/2 2ND AVE. EAST",
            "address_2": "PO BOX 507",
            "city": "OSCEOLA",
            "state": "WI",
            "postal_code": "540200507",
            "telephone_number": "715-294-4224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 1/2 2ND AVE. EAST",
            "city": "OSCEOLA",
            "state": "WI",
            "postal_code": "540200507",
            "telephone_number": "715-294-4224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUMLIEN",
        "first_name": "GREGORY",
        "middle_name": "ROGER",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-22",
        "last_updated": "2014-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4634-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Journey Points Therapy Services
• Samantha Gail Kath, MSN, FNP-BC
• Rosemary Kephart, COTA
• Tawnya Jo Koenig, RD
• Kumlien Chiropractic LLC
• Hannah Kunkel
• Ladd Memorial Hospital
• Ladd Memorial Hospital
• Ladd Memorial Hospital
• Ladd Memorial Hospital

• All providers in Osceola, WI
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.