Shawn Reince, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5491-12 Issued in WI

Practice address

941 Century Ave
Antigo, WI 54409-2484

Phone

(715) 623-7141

Fax

(715) 623-4020

NPI assigned

Dec 11, 2019

Last updated

Dec 11, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Reince Chiropractic LLC

  • Chiropractor
  • Suamico, WI
  • NPI 1659981801
  NPD Authorized official

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

{
    "created_epoch": "1576022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576022400000",
    "number": "1871131730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2327 NEVA RD",
            "city": "ANTIGO",
            "state": "WI",
            "postal_code": "544092912",
            "telephone_number": "715-623-2123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "941 CENTURY AVE",
            "city": "ANTIGO",
            "state": "WI",
            "postal_code": "544092484",
            "telephone_number": "715-623-7141",
            "fax_number": "715-623-4020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2327 Neva Rd",
            "address_purpose": "LOCATION",
            "city": "Antigo",
            "state": "WI",
            "postal_code": "544092912",
            "country_code": "US",
            "telephone_number": "715-623-2123",
            "fax_number": "715-623-6556",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REINCE",
        "first_name": "SHAWN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-11",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "5491-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra Potschaider
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• Christina Lee Ray, COTA
• Stephanie L Reimer, D.D.S
• Ronald Lee Remiker, RPH
• Nathaniel Joseph Retrum, PA-C
• Betsy Revers, DO
• Gerald N Rindal, D.C.
• Cassandra Ann Robrecht, ATC

• Chiropractor in Antigo, WI
• Providers in Antigo, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2019; 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.