Alan W Resch, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2074-012 Issued in WI

Practice address

1805 Allouez Ave
Suite 2
Green Bay, WI 54311-6244

Phone

(920) 465-0101

Fax

(920) 468-1510

NPI assigned

Jan 11, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 1985

Medicare assignment

May accept Medicare assignment

Group practices

Dr Hallam Chiropractic LLCGroup PAC ID 8729348941, 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 and National Provider Directory roles.

• Dr Hallam Chiropractic LLC

  • Chiropractor
  • Green Bay, WI
  • NPI 1053836148
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311120000000",
    "number": "1962481564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 ALLOUEZ AVE",
            "address_2": "SUITE 2",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543116244",
            "telephone_number": "920-465-0101",
            "fax_number": "920-468-1510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 ALLOUEZ AVE",
            "address_2": "SUITE 2",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543116244",
            "telephone_number": "920-465-0101",
            "fax_number": "920-468-1510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RESCH",
        "first_name": "ALAN",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-11",
        "last_updated": "2011-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "2074-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38791600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David William Rentmeester, MD
• Deborah G Rentmeester, PT
• Hannah Rentmeester, AUD
• Michelle M Rentmeester, OT
• Jeremy Jackson Renz, DO
• Jennifer Bea Resch, NP
• Lauren M Resch, NP
• Laurie A Resch, MSW
• Ellen K. Resnick, CRNA
• Lindsay Jo Respalje, PTA

• Chiropractor in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2011; 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.