Individual provider Active NPI

Craig Robert Slapinski, D.C.

  • Chiropractor
  • Lake Geneva, WI
National Provider Identifier
1790018901
Registry record updated Jun 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4515-12 Issued in WI
Practice address
800 Geneva Pkwy N
Suite 102
Lake Geneva, WI 53147-5701
Phone
(262) 248-4105
NPI assigned
Sep 8, 2009
Last updated
Jun 2, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4515-12 WI Primary

Addresses

Primary practice location

800 Geneva Pkwy N
Suite 102
Lake Geneva, WI 53147-5701

Mailing address

800 Geneva Pkwy N
Suite 102
Lake Geneva, WI 53147-5701
Phone (262) 248-4105

Other identifiers 1

IdentifierTypeStateIssuer
1790018901MedicaidWI

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
4515-12WIMDChiropractor
4515WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Geneva Chiropractic Partners Chiropractor PastSince Feb 1, 1999 Accepting new patients
BBGH Partnership Chiropractor PastSince Sep 1, 2016 Accepting new patients

Organizations & group practices 3

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": "1252368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401667200000",
    "number": "1790018901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 GENEVA PKWY N",
            "address_2": "SUITE 102",
            "city": "LAKE GENEVA",
            "state": "WI",
            "postal_code": "531475701",
            "telephone_number": "262-248-4105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 GENEVA PKWY N",
            "address_2": "SUITE 102",
            "city": "LAKE GENEVA",
            "state": "WI",
            "postal_code": "531475701",
            "telephone_number": "262-248-4105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLAPINSKI",
        "first_name": "CRAIG",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-08",
        "last_updated": "2014-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4515-12",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1790018901",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Geneva, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2014; 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.