Individual provider Active NPI

Nathan Steven Cummings, D.C.

  • Chiropractor
  • Brillion, WI
National Provider Identifier
1790953610
Registry record updated Feb 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5032-12 Issued in WI
Practice address
708 W Ryan St
Brillion, WI 54110-1045
Phone
(920) 756-2151
Fax
(920) 756-3434
NPI assigned
Feb 13, 2008
Last updated
Feb 17, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5032-12 WI Primary

Addresses

Primary practice location

708 W Ryan St
Brillion, WI 54110-1045

Mailing address

708 W Ryan St
Brillion, WI 54110-1045
Phone (920) 756-2151

Other identifiers 1

IdentifierTypeStateIssuer
100039599MedicaidWI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141008000837 WI Practitioner - Chiropractic 8628146453 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Groskopp Chiropractic SCGroup PAC ID 6709031818, 2 clinicians

Practice addresses (Care Compare)

708 W Ryan St
Brillion, WI 54110-1045
Phone (920) 756-2151

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5032-12WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Wisconsin Center for Infusion, SC Past Accepting new patients
Chiropractic of the Carolinas Chiropractor PastSince Oct 1, 2008 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": "1202860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581897600000",
    "number": "1790953610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 W RYAN ST",
            "city": "BRILLION",
            "state": "WI",
            "postal_code": "541101045",
            "telephone_number": "920-756-2151",
            "fax_number": "920-756-3434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 W RYAN ST",
            "city": "BRILLION",
            "state": "WI",
            "postal_code": "541101045",
            "telephone_number": "920-756-2151",
            "fax_number": "920-756-3434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUMMINGS",
        "first_name": "NATHAN",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-13",
        "last_updated": "2020-02-17",
        "certification_date": "2020-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "5032-12",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100039599",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brillion, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2020; 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.