Individual provider Active NPI

Lisa Belinda Kaiser, DC

  • Chiropractor
  • Glenwood City, WI
National Provider Identifier
1790862514
Registry record updated Oct 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2311 Issued in WI
Practice address
144 East Oak Street
Glenwood City, WI 54013
Phone
(715) 265-7267
Fax
(715) 265-7997
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2311 WI Primary

Addresses

Primary practice location

144 East Oak Street
Glenwood City, WI 54013

Mailing address

PO Box 219
Glenwood City, WI 54013-0219
Phone (715) 265-7267

Other identifiers 2

IdentifierTypeStateIssuer
38835000MedicaidWI
116M4KAOtherWVBCBS OF MINNESOTA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031114000295 WI Practitioner - Chiropractic 0749194843 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Chirocare SCGroup PAC ID 2769396860, 4 clinicians

Practice addresses (Care Compare)

144 E Oak St
Glenwood City, WI 54013-4232
Phone (715) 265-7267

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2311WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Family Chirocare SC Chiropractor CurrentSince Apr 1, 2002 Accepting new patients

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508112000000",
    "number": "1790862514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 219",
            "city": "GLENWOOD CITY",
            "state": "WI",
            "postal_code": "540130219",
            "telephone_number": "715-265-7267",
            "fax_number": "715-265-7977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 EAST OAK STREET",
            "city": "GLENWOOD CITY",
            "state": "WI",
            "postal_code": "54013",
            "telephone_number": "715-265-7267",
            "fax_number": "715-265-7997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAISER",
        "first_name": "LISA",
        "middle_name": "BELINDA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2017-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "2311",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38835000",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MINNESOTA",
            "identifier": "116M4KA",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenwood City, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2017; 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.