Individual provider Active NPI

Dawn Marie Rottier, DC

  • Chiropractor
  • Stevens Point, WI
National Provider Identifier
1922083112
Registry record updated Sep 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3382012 Issued in WI
Practice address
1265 Main St
Ste 103
Stevens Point, WI 54481-2884
Phone
(715) 254-0233
Fax
(715) 254-0235
NPI assigned
Dec 9, 2005
Last updated
Sep 30, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3382012 WI Primary

Addresses

Primary practice location

1265 Main St
Ste 103
Stevens Point, WI 54481-2884

Mailing address

1265 Main St
Ste 103
Stevens Point, WI 54481-2884
Phone (715) 254-0233

Other identifiers 1

IdentifierTypeStateIssuer
38895900MedicaidWI

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

LicenseStateTypeSpecialty
3382012WIMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1134086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412035200000",
    "number": "1922083112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1265 MAIN ST",
            "address_2": "STE 103",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544812884",
            "telephone_number": "715-254-0233",
            "fax_number": "715-254-0235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1265 MAIN ST",
            "address_2": "STE 103",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544812884",
            "telephone_number": "715-254-0233",
            "fax_number": "715-254-0235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTTIER",
        "first_name": "DAWN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-09",
        "last_updated": "2014-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3382012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38895900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stevens Point, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2014; 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.