Individual provider Active NPI

Christopher Louis Tomczak, D.C

  • Chiropractor
  • Racine, WI
National Provider Identifier
1932384633
Registry record updated Jan 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4372-012 Issued in WI
Practice address
5332 Spring St
Racine, WI 53406-2910
Phone
(262) 886-2113
NPI assigned
Jan 2, 2008
Last updated
Jan 2, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4372-012 WI Primary

Addresses

Primary practice location

5332 Spring St
Racine, WI 53406-2910

Mailing address

5332 Spring St
Racine, WI 53406-2910
Phone (262) 886-2113

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080212000360 WI Practitioner - Chiropractic 9335222579 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

S76W17605 Janesville Rd
Muskego, WI 53150-9298
Phone (262) 679-1910

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4372-012WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Tomczak Chiropractic Office LLC Chiropractor CurrentSince Jun 1, 2010 Accepting new patients

Locations

S76W17605 Janesville Rd
Muskego, WI 53150
Phone (262) 679-1910

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1199232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199232000000",
    "number": "1932384633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5332 SPRING ST",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534062910",
            "telephone_number": "262-886-2113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5332 SPRING ST",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534062910",
            "telephone_number": "262-886-2113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMCZAK",
        "first_name": "CHRISTOPHER",
        "middle_name": "LOUIS",
        "name_prefix": "Mr.",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-02",
        "last_updated": "2008-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4372-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Racine, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.