Keith Allen Levick, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4151-012 Issued in WI

Practice address

1706 York St
Suite 5
Bloomer, WI 54724-1920

Phone

(715) 568-9923

Fax

(715) 568-9924

NPI assigned

Aug 7, 2007

Last updated

Jun 1, 2008By 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

Enrolled in WI

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Russell Chiropractic LLCGroup PAC ID 2062699879, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Russell Chiropractic LLC

  • Chiropractor
  • Cornell, WI
  • NPI 1548567662
  Medicare reassignment Care Compare group NPD
• Cornell Chiropractic, LLC

  • Chiropractor
  • Cornell, WI
  • NPI 1386744019
  NPD (past)

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212278400000",
    "number": "1891986501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706 YORK ST",
            "address_2": "SUITE 5",
            "city": "BLOOMER",
            "state": "WI",
            "postal_code": "547241920",
            "telephone_number": "715-568-9923",
            "fax_number": "715-568-9924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1706 YORK ST",
            "address_2": "SUITE 5",
            "city": "BLOOMER",
            "state": "WI",
            "postal_code": "547241920",
            "telephone_number": "715-568-9923",
            "fax_number": "715-568-9924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVICK",
        "first_name": "KEITH",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-07",
        "last_updated": "2008-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4151-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Langert, COTA
• Paul C Lanzer, DDS
• John Larson, MD
• Carmella Leggon, O.T.
• Sandra Sue Leuthe
• Robin A Lohse, COTA
• Rebecca Jean Matushak
• Mayo Clinic Health System-Northwest Wisconsin Region, Inc. (Mayo Clinic Health System-Bloomer)
• Mayo Clinic Health System-Northwest Wisconsin Region, Inc. (Mayo Clinic Health System-Bloomer)
• Mayo Clinic Health System-Northwest Wisconsin Region, Inc. (Mayo Clinic Health System-Bloomer)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2008; 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.