Active NPI
Carter Crotteau
- Chiropractor
- Rice Lake, WI
National Provider Identifier
1952739591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4930-12
- Practice address
- 407 W Knapp St
Rice Lake, WI 54868-1546 - Phone
- (715) 234-3808
- Fax
- (715) 234-3809
- NPI assigned
- Oct 16, 2013
- Sex
- Male
- Sole proprietor
- No
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 | 4930-12 | WI | Primary |
Addresses
Primary practice location
407 W Knapp St
Rice Lake, WI 54868-1546
Mailing address
407 W Knapp St
Rice Lake, WI 54868-1546
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1381881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1382313600000",
"number": "1952739591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "407 W KNAPP ST",
"city": "RICE LAKE",
"state": "WI",
"postal_code": "548681546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "407 W KNAPP ST",
"city": "RICE LAKE",
"state": "WI",
"postal_code": "548681546",
"telephone_number": "715-234-3808",
"fax_number": "715-234-3809"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROTTEAU",
"first_name": "CARTER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-10-16",
"last_updated": "2013-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "4930-12",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rice Lake, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.