Active NPI
Grant J Peissig, D.C.
- Chiropractor
- Menomonie, WI
National Provider Identifier
1912236985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4579 - 012
- Practice address
- 396 Red Cedar St
Menomonie, WI 54751-2386 - Phone
- (715) 231-2533
- Fax
- (715) 231-2534
- NPI assigned
- Dec 21, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4579 - 012 | WI | Primary |
Addresses
Primary practice location
396 Red Cedar St
Menomonie, WI 54751-2386
Mailing address
396 Red Cedar St
Menomonie, WI 54751-2386
Phone (715) 231-2533
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4579 - 012 | WI | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1261353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1286841600000",
"number": "1912236985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "396 RED CEDAR ST",
"city": "MENOMONIE",
"state": "WI",
"postal_code": "547512386",
"telephone_number": "715-231-2533",
"fax_number": "715-231-2534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "396 RED CEDAR ST",
"city": "MENOMONIE",
"state": "WI",
"postal_code": "547512386",
"telephone_number": "715-231-2533",
"fax_number": "715-231-2534"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEISSIG",
"first_name": "GRANT",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-12-21",
"last_updated": "2010-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "4579 - 012",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Menomonie, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.