Vijai Paul Khan, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4725-12 Issued in WI

Practice address

103 Elm St
Woodruff, WI 54568-9164

Phone

(715) 358-6650

Fax

(715) 358-6381

NPI assigned

Jan 28, 2011

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, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Country Chiropractic and Wellness, LLCGroup PAC ID 2264614940, 2 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• North Country Chiropractic & Wellness LLC

  • Chiropractor
  • Woodruff, WI
  • NPI 1861799975
  Medicare reassignment Care Compare group NPD Authorized official
• North Country Chiropractic, S.C.

  • Chiropractor
  • Woodruff, WI
  • NPI 1295931442
  NPD (past)

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

{
    "created_epoch": "1296172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489708800000",
    "number": "1871899484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2195",
            "city": "WOODRUFF",
            "state": "WI",
            "postal_code": "545682195",
            "telephone_number": "715-358-6650",
            "fax_number": "715-358-6381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 ELM ST",
            "city": "WOODRUFF",
            "state": "WI",
            "postal_code": "545689164",
            "telephone_number": "715-358-6650",
            "fax_number": "715-358-6381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "VIJAI",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-01-28",
        "last_updated": "2017-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4725-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy C. Kakuschke, PT
• Denise A Kearns-Legoo, PT
• Joanne C Kemnitz, LCSW
• Sara E Keuler, PT
• Macie Khan
• Kristin King
• Stacey L Klein, OTA
• Cassie Elizabeth Kleinhans, MONITRICE
• Brook Kmiecik
• Frederick Knoch, MD

• All providers in Woodruff, WI
• Chiropractor in Wisconsin

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